Individual provider Active NPI

Bruce Greenwald, R.PH.

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1801110473
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24344 Issued in NY
Practice address
558 W 235TH St
Bronx, NY 10463-1709
Phone
(718) 543-6868
Fax
(718) 543-1957
NPI assigned
Mar 25, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 24344 NY Primary
Pharmacist 183500000X PS19134 FL

Addresses

Primary practice location

558 W 235TH St
Bronx, NY 10463-1709

Mailing address

558 W 235TH St
Bronx, NY 10463-1709
Phone (718) 543-6868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS19134FLMDPharmacist
24344NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bayshore Pharmacy LLC Past Accepting new patients
Regal Pharmacy Corp Pharmacist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1801110473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 W 235TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631709",
            "telephone_number": "718-543-6868",
            "fax_number": "718-543-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 W 235TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631709",
            "telephone_number": "718-543-6868",
            "fax_number": "718-543-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWALD",
        "first_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "24344",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS19134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 25, 2010; 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.