Dreiser Mall Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DREISER MALL PHARMACY LLC

Doing business as

Green Pharmacy

Practice address

133 Dreiser Loop
Bronx, NY 10475-2704

Phone

(347) 899-8199

NPI assigned

Feb 13, 2019

Reactivated

Oct 19, 2026

Last updated

Oct 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ibrar Ahmed Nadeem

Title

Member

Phone

(478) 998-1993

Specialties & licenses 1

Addresses

Other names 1

• Green Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Biana Makhover, PHARM D

  • Pharmacist
  • Flushing, NY
  • NPI 1639408529
  NPD

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1821554080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 DREISER LOOP",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104752704",
            "telephone_number": "347-899-8199",
            "fax_number": "347-899-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 DREISER LOOP",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104752704",
            "telephone_number": "347-899-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREISER MALL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2026-10-19",
        "certification_date": "2023-01-09",
        "deactivation_date": "2026-08-05",
        "reactivation_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "NADEEM",
        "authorized_official_first_name": "IBRAR",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "478-998-1993"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Francis Draper
• Daaimah Dratsky, RD
• Dream Nation Wellness
• Dreiser Diagnostic Testing Facility
• Dreiser Durable Medical Equipment Inc
• Dreiser Pain Management PLLC
• Dreiser Physical Therapy and Rehabilitation PC
• Milton Dreisinger, PHD
• Lawrence Drejaj
• Jordan Alexander Drelich, RPA-C

• 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 Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.