Elder Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

027511 Issued in NY

Legal business name

ELDER PHARMACY LLC

Doing business as

Leroy Pharmacy

Practice address

1527 Westchester Ave
Bronx, NY 10472-2908

Phone

(718) 842-2777

Fax

(718) 842-0077

NPI assigned

Jun 13, 2006

Last updated

Apr 22, 2016By 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

Sanjiv Sheth, RPHNPI 1396992020

Title

Owner, Pic

Phone

(718) 842-2777

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Leroy Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sanjiv Sheth, RPH

  • Pharmacist
  • Bronx, NY
  • NPI 1396992020
  NPD Authorized official

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1720020506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722908",
            "telephone_number": "718-842-2777",
            "fax_number": "718-842-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722908",
            "telephone_number": "718-842-2777",
            "fax_number": "718-842-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "SANJIV",
        "authorized_official_title_or_position": "OWNER, PIC",
        "authorized_official_telephone_number": "718-842-2777",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2063345",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02703859",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leroy Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yardane Elbaz
• Elise Marie Elbrecht, LCSW
• Adam Eldahan, FNP DNP
• Mamdouh M Eldeeb, PT
• Mohamed M. Hassib Eldefrawi, M.D., PH.D.
• Elder Psychological Solutions PC
• Gregory Allen Elder, M.D.
• Elderedge Inc.
• Elderedge Inc.
• Kellyann E Eldermire, PHARMD

• 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 Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.