Organization Active NPI

Morris Ave Pharmacy Inc

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1750688602
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
030468 Issued in NY
Legal business name
MORRIS AVE PHARMACY INC
Doing business as
Morris Ave Pharmacy Inc
Practice address
675 Morris Ave
Bronx, NY 10451-4783
Phone
(718) 292-2500
Fax
(718) 292-2600
NPI assigned
Feb 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Irina Aronova, RPH
Title
SP
Phone
(718) 292-2500

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 030468 NY Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X
Managed Care Organization Pharmacy 3336M0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

675 Morris Ave
Bronx, NY 10451-4783

Mailing address

675 Morris Ave
Bronx, NY 10451-4783
Phone (718) 292-2500

Other identifiers 2

IdentifierTypeStateIssuer
03319835MedicaidNY
5801926OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MORRIS AVE PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1750688602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 MORRIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514783",
            "telephone_number": "718-292-2500",
            "fax_number": "718-292-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 MORRIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514783",
            "telephone_number": "718-292-2500",
            "fax_number": "718-292-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS AVE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "ARONOVA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "SP",
        "authorized_official_telephone_number": "718-292-2500",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030468",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03319835",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5801926",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MORRIS AVE PHARMACY INC",
            "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 21, 2013; 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.