Organization Active NPI

Concord Pharmacy LLC

  • Pharmacy
  • Bronx, NY
National Provider Identifier
1710433925
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
034768 Issued in NY
Legal business name
CONCORD PHARMACY LLC
Practice address
301 E Kingsbridge Rd
Bronx, NY 10458-4443
Phone
(929) 329-0421
Fax
(347) 542-3034
NPI assigned
Aug 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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

Authorized official

Name
Mr. Li H HomNPI 1356600621
Title
Pharmacy Manager
Phone
(929) 329-0421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 034768 NY Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

301 E Kingsbridge Rd
Bronx, NY 10458-4443

Mailing address

301 E Kingsbridge Rd
Bronx, NY 10458-4443
Phone (929) 329-0421

Other identifiers 1

IdentifierTypeStateIssuer
2162428OtherPK

National Provider Directory

National Provider Directory

Locations

301 E Kingsbridge Rd
Bronx, NY 10458
Phone (929) 329-0421

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511308800000",
    "number": "1710433925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E KINGSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104584443",
            "telephone_number": "929-329-0421",
            "fax_number": "347-542-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E KINGSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104584443",
            "telephone_number": "929-329-0421",
            "fax_number": "347-542-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2017-11-22",
        "status": "A",
        "authorized_official_last_name": "HOM",
        "authorized_official_first_name": "LI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "929-329-0421",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "034768",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162428",
            "state": null
        }
    ],
    "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 Nov 22, 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.