Active NPI
Kings Bronx, Inc
- Pharmacist
- Bronx, NY
National Provider Identifier
1801958731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044114
- Legal business name
- KINGS BRONX, INC
- Practice address
- 545 Saint Pauls PL
Bronx, NY 10456-2122 - Phone
- (718) 992-6881
- Fax
- (718) 992-0055
- NPI assigned
- Dec 15, 2006
- 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
- Shamsul K Bakar, R.PH.
- Title
- Supervising Pharmacist
- Phone
- (718) 992-6881
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 044114 | NY | Primary |
Addresses
Primary practice location
545 Saint Pauls PL
Bronx, NY 10456-2122
Mailing address
545 Saint Pauls PL
Bronx, NY 10456-2122
Phone (718) 992-6881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3312458 | Other | NY | NCPDP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930100033 | NY | DME Supplier - Pharmacy | 7517178296 | Practice locations: Bronx, NY |
| O20220609001253 | NY | Part B Supplier - Pharmacy | 7517178296 | Practice locations: Bronx, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Kings Pharmacy | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Nebulize… | Does not accept assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bronx, NY
- NPI 1811214224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195344000000",
"number": "1801958731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 SAINT PAULS PL",
"city": "BRONX",
"state": "NY",
"postal_code": "104562122",
"telephone_number": "718-992-6881",
"fax_number": "718-992-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 SAINT PAULS PL",
"city": "BRONX",
"state": "NY",
"postal_code": "104562122",
"telephone_number": "718-992-6881",
"fax_number": "718-992-0055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINGS BRONX, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2007-11-18",
"status": "A",
"authorized_official_last_name": "BAKAR",
"authorized_official_first_name": "SHAMSUL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "SUPERVISING PHARMACIST",
"authorized_official_telephone_number": "718-992-6881",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NY",
"license": "044114",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3312458",
"state": "NY"
}
],
"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 Nov 18, 2007; 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.