NPIMap

Organization Active NPI

Pilgrim Pharmacy Inc

  • Long Term Care Pharmacy
  • Bronx, NY
National Provider Identifier
1710683123
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PILGRIM PHARMACY INC
Practice address
2941 Westchester Ave
Bronx, NY 10461-4534
Phone
(718) 823-1085
Fax
(718) 828-7491
NPI assigned
Feb 7, 2023
Organization subpart
Yes
Parent organization
PILGRIM PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Michael Vito Coscia
Title
Owner
Phone
(718) 823-1085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2941 Westchester Ave
Bronx, NY 10461-4534

Mailing address

2941 Westchester Ave
Bronx, NY 10461-4534
Phone (718) 823-1085

Other identifiers 1

IdentifierTypeStateIssuer
00265756MedicaidNY

National Provider Directory

National Provider Directory
Part of
Pilgrim Pharmacy Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

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": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1710683123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614534",
            "telephone_number": "718-823-1085",
            "fax_number": "718-828-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614534",
            "telephone_number": "718-823-1085",
            "fax_number": "718-828-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILGRIM PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PILGRIM PHARMACY INC",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "COSCIA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "VITO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-823-1085"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00265756",
            "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, 2023; 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.