Organization Active NPI

North Bronx RX Inc

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1770170748
Registry record updated Dec 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Dec 24, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210414001035 NY Part B Supplier - Pharmacy 9739597659 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.