596 Morris Avenue Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031108 Issued in NY

Legal business name

596 MORRIS AVENUE PHARMACY INC

Doing business as

Morrissania Pharmacy

Practice address

596 Morris Ave
Bronx, NY 10451-4744

Phone

(718) 401-8800

Fax

(718) 401-8802

NPI assigned

Apr 7, 2009

Last updated

Mar 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samina Hassan

Title

President

Phone

(516) 523-9200

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Morrissania Pharmacy Doing business as

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1710120704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 MORRIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514744",
            "telephone_number": "718-401-8800",
            "fax_number": "718-401-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 MORRIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514744",
            "telephone_number": "718-401-8800",
            "fax_number": "718-401-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "596 MORRIS AVENUE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "SAMINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-523-9200"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710120704",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133699",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morrissania Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.