Organization Active NPI

Ardent Pharmacy Inc

Doing business as Benjamin's pharmacy and Surgicals

  • Pharmacy
  • Bronx, NY
National Provider Identifier
1750667598
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
050685 Issued in NY
Legal business name
ARDENT PHARMACY INC
Doing business as
Benjamin's pharmacy and Surgicals
Practice address
987-989 Allerton Ave
Bronx, NY 10469-4336
Phone
(718) 405-9111
Fax
(718) 405-9112
NPI assigned
Oct 25, 2011
Last updated
May 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Authorized official

Name
Dr. Beniamin Yunus, PHARM. D.NPI 1720269343
Title
President/Owner
Phone
(516) 398-8183

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
Durable Medical Equipment & Medical Supplies 332B00000X 050685 NY
Pharmacy 333600000X 050685 NY Primary

Addresses

Primary practice location

987-989 Allerton Ave
Bronx, NY 10469-4336

Mailing address

987-989 Allerton Ave
Bronx, NY 10469-4336
Phone (718) 405-9111

Other identifiers 1

IdentifierTypeStateIssuer
03418224MedicaidNY

Other names 1

  • Benjamin's pharmacy and Surgicals Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120321000344 NY DME Supplier - Pharmacy 4183884638 Practice locations: Bronx, NY
O20130222000523 NY Part B Supplier - Mass Immunization (Roster Biller Only) 4183884638 Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Benjamin's Pharmacy and Surgicals987-989 Allerton Ave, Bronx, NY 10469-4127(718) 405-9111 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Insulin Infusion Pumps and/or Supplies|Canes a… Accepts assignmentParticipating since Sep 1, 2012

National Provider Directory

National Provider Directory
Tax ID family
Ardent Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1750667598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987-989 ALLERTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104694336",
            "telephone_number": "718-405-9111",
            "fax_number": "718-405-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987-989 ALLERTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104694336",
            "telephone_number": "718-405-9111",
            "fax_number": "718-405-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDENT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "YUNUS",
        "authorized_official_first_name": "BENIAMIN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "516-398-8183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "050685",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "050685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03418224",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benjamin's pharmacy and Surgicals",
            "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 May 14, 2012; 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.