Organization Active NPI

Longwood Drug & Surgical Inc

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1710091442
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
031076 Issued in NY
Legal business name
LONGWOOD DRUG & SURGICAL INC
Practice address
839-B Prospect Ave
Bronx, NY 10459-3912
Phone
(718) 542-4770
Fax
(718) 991-8564
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Saleem A Tatari
Title
President
Phone
(718) 542-4770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 031076 NY Primary

Addresses

Primary practice location

839-B Prospect Ave
Bronx, NY 10459-3912

Mailing address

839B Prospect Ave
Bronx, NY 10459-3912
Phone (718) 542-4770

Other identifiers 1

IdentifierTypeStateIssuer
00901937MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220824002580 NY Part B Supplier - Pharmacy 9032329461 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

839B Prospect Ave
Bronx, NY 10459
Phone (718) 542-4770

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1710091442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839B PROSPECT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593912",
            "telephone_number": "718-542-4770",
            "fax_number": "718-991-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839-B PROSPECT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593912",
            "telephone_number": "718-542-4770",
            "fax_number": "718-991-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGWOOD DRUG & SURGICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "TATARI",
        "authorized_official_first_name": "SALEEM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-542-4770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "031076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00901937",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.