Organization Active NPI

Park Plaza Pharma Inc.

  • Long Term Care Pharmacy
  • Bronx, NY
National Provider Identifier
1720818685
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PARK PLAZA PHARMA INC.
Doing business as
PARK PLAZA PHARMACY (LTC)
Practice address
1773 University Ave
Bronx, NY 10453-6961
Phone
(718) 583-5900
Fax
(718) 716-1876
NPI assigned
Aug 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Amish PatelNPI 1790941169
Title
Pic/Co-Owner
Phone
(516) 426-8453

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 1

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

Addresses

Primary practice location

1773 University Ave
Bronx, NY 10453-6961

Mailing address

1773 University Ave
Bronx, NY 10453-6961
Phone (718) 583-5900

Other names 1

  • PARK PLAZA PHARMACY (LTC) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Park Plaza Pharma Inc2 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.

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": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1720818685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 UNIVERSITY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104536961",
            "telephone_number": "718-583-5900",
            "fax_number": "718-716-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1773 UNIVERSITY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104536961",
            "telephone_number": "718-583-5900",
            "fax_number": "718-716-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLAZA PHARMA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMISH",
        "authorized_official_title_or_position": "PIC/CO-OWNER",
        "authorized_official_telephone_number": "516-426-8453"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARK PLAZA PHARMACY (LTC)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 6, 2024; 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.