Polsak Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

028262 Issued in NY

Legal business name

POLSAK CORPORATION

Doing business as

R AND S PIONEER PHARMACY

Practice address

1018 Ogden Ave
Bronx, NY 10452-5103

Phone

(718) 538-8183

Fax

(718) 538-2855

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Kunal Shah

Title

Phrmd

Phone

(718) 538-8183

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• R AND S PIONEER PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

Tax ID family

Polsak Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Polsak Corporation

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1578609889
  NPD tax ID

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1720099377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 OGDEN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104525103",
            "telephone_number": "718-538-8183",
            "fax_number": "718-538-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 OGDEN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104525103",
            "telephone_number": "718-538-8183",
            "fax_number": "718-538-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLSAK CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KUNAL",
        "authorized_official_title_or_position": "PHRMD",
        "authorized_official_telephone_number": "718-538-8183"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2843841",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2058490",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R AND S PIONEER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy Pollock, LCSW-R
• Ma Cristina Vermon Polo, P.T.
• Bennett Pologe, PH.D.
• Anatoly Polosatkin, DO
• Polsak Corporation
• Jayne Elizabeth Poltorack, RN
• Svetlana Polvanova
• Thomas Joseph Polykarpous, OTR/L
• Margaret Pomah
• Emily Pomales

• 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 Dec 6, 2016; 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.