NPIMap

Organization Active NPI

Ben-Tal Pharmacy Services, Inc.

Doing business as Family Health Center Pharmacy

  • Clinic Pharmacy
  • Bronx, NY
National Provider Identifier
1811920515
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
025194 Issued in NY
Legal business name
BEN-TAL PHARMACY SERVICES, INC.
Doing business as
Family Health Center Pharmacy
Practice address
360 E 193Rd St
Bronx, NY 10458-4710
Phone
(718) 741-9505
Fax
(718) 741-9525
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gina Hunt
Title
Senior VP Corporate Revenue
Phone
(954) 653-1040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 025194 NY Primary

Addresses

Primary practice location

360 E 193Rd St
Bronx, NY 10458-4710

Mailing address

360 E 193Rd St
Bronx, NY 10458-4710
Phone (718) 741-9505

Other identifiers 1

IdentifierTypeStateIssuer
02190229MedicaidNY

Other names 1

  • Family Health Center Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ben-Tal Pharmacy Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811920515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E 193RD ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104584710",
            "telephone_number": "718-741-9505",
            "fax_number": "718-741-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E 193RD ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104584710",
            "telephone_number": "718-741-9505",
            "fax_number": "718-741-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN-TAL PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "SENIOR VP CORPORATE REVENUE",
        "authorized_official_telephone_number": "954-653-1040"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NY",
            "license": "025194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02190229",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Center 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 Aug 22, 2020; 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.