Fordham Road RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

033941 Issued in NY

Legal business name

FORDHAM ROAD RX INC

Practice address

2 E Fordham Rd
Bronx, NY 10468-5445

Phone

(718) 364-3333

Fax

(718) 364-3334

NPI assigned

May 6, 2015

Organization subpart

No

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

Authorized official

Name

Ravi Chenna

Title

President

Phone

(718) 364-3333

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• FORDHAM ROAD PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1801273248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104685445",
            "telephone_number": "718-364-3333",
            "fax_number": "718-364-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104685445",
            "telephone_number": "718-364-3333",
            "fax_number": "718-364-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORDHAM ROAD RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "CHENNA",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-364-3333"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "033941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155137",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04232660",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FORDHAM ROAD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fordham Plaza Dental Associates
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• Fordham Road Dental PC
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• Fordham Tremont
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• Fordham Tremont CMHC
• Fordham Tremont Community Mental Health Center
• Fordham Tremont Community Mental Health Center

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.