Active NPI
North Bronx RX Inc
- Community/Retail Pharmacy
- Bronx, NY
National Provider Identifier
1770170748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- NORTH BRONX RX INC
- Practice address
- 4166 White Plains Rd
Bronx, NY 10466-3020 - Phone
- (718) 925-4114
- Fax
- (718) 925-4112
- NPI assigned
- Dec 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Soveira Cobos
- Title
- Manager
- Phone
- (718) 925-4114
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
4166 White Plains Rd
Bronx, NY 10466-3020
Mailing address
4166 White Plains Rd
Bronx, NY 10466-3020
Phone (718) 925-4114
Other names 1
- north bronx pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210414001035 | NY | Part B Supplier - Pharmacy | 9739597659 | Practice locations: Bronx, NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608768000000",
"number": "1770170748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4166 WHITE PLAINS RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104663020",
"telephone_number": "718-925-4114",
"fax_number": "718-925-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4166 WHITE PLAINS RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104663020",
"telephone_number": "718-925-4114",
"fax_number": "718-925-4112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH BRONX RX INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-24",
"last_updated": "2020-12-24",
"certification_date": "2020-12-24",
"status": "A",
"authorized_official_last_name": "COBOS",
"authorized_official_first_name": "SOVEIRA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "718-925-4114"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "north bronx pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bronx, NY
- North Bronx Healthcare Network
- North Bronx Healthcare Network
- North Bronx Healthcare Network
- North Bronx Pharmacy RX LLC
- North Bronx Retinal and Ophthalmic Surgery PC
- North Bronx Urological Services
- North Central Bronx Hospital
- North Central Bronx Hospital
- North Central Bronx Hospital
- North Central Bronx Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; 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.