Organization Active NPI

Rudra RX Inc.

Doing business as New Concourse Pharmacy

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1780473991
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RUDRA RX INC.
Doing business as
New Concourse Pharmacy
Practice address
2395 Grand Concourse
Bronx, NY 10468-6823
Phone
(347) 590-2863
Fax
(347) 590-2864
NPI assigned
May 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Mr. Cypraine Tati Awung, PHARMACIST
Title
Owner & Supervising Pharmacist
Phone
(347) 590-2863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2395 Grand Concourse
Bronx, NY 10468-6823

Mailing address

2395 Grand Concourse
Bronx, NY 10468-6823
Phone (347) 590-2863

Other names 1

  • New Concourse Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20251024001085 NY Part B Supplier - Mass Immunization (Roster Biller Only) 6901394568 Practice locations: Bronx, NY
O20251113003659 NY DME Supplier - Pharmacy 6901394568 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
Rudra RX Inc.2395 Grand Concourse, Bronx, NY 10468-6823(347) 590-2863 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Sep 15, 2025

National Provider Directory

National Provider Directory

Locations

2395 Grand Concourse
Bronx, NY 10468
Phone (347) 285-1933

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": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1780473991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104686823",
            "telephone_number": "347-590-2863",
            "fax_number": "347-590-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104686823",
            "telephone_number": "347-590-2863",
            "fax_number": "347-590-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDRA RX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-04",
        "status": "A",
        "authorized_official_last_name": "AWUNG",
        "authorized_official_first_name": "CYPRAINE TATI",
        "authorized_official_title_or_position": "OWNER & SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "347-590-2863",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Concourse 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 May 5, 2025; 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.