Pgu Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

033797 Issued in NY

Legal business name

PGU PHARMACY INC

Doing business as

First Health Pharmacy

Practice address

1229 Franklin Ave
Bronx, NY 10456-3515

Phone

(347) 597-7999

Fax

(347) 597-7405

NPI assigned

Apr 21, 2010

Organization subpart

No

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

Authorized official

Name

Srinivasulu ThotaNPI 1790047744

Title

Supervising Pharmacist / Manager

Phone

(347) 597-7999

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• First Health 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

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Srinivasulu Thota

  • Pharmacist
  • Bronx, NY
  • NPI 1790047744
  NPD (past) Authorized official
• Julia Isaakova, PHARMD

  • Pharmacist
  • Bronx, NY
  • NPI 1164828141
  NPD (past)

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1831416536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 FRANKLIN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563515",
            "telephone_number": "347-597-7999",
            "fax_number": "347-597-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 FRANKLIN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563515",
            "telephone_number": "347-597-7999",
            "fax_number": "347-597-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PGU PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "THOTA",
        "authorized_official_first_name": "SRINIVASULU",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST / MANAGER",
        "authorized_official_telephone_number": "347-597-7999"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "033797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04240608",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154282",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tawana Peynado
• Dinorah Pezzotti, M.S.
• Kayna Pfeiffer, LMHC, CASAC
• Kenneth Pfeiffer, CASAC
• Michelle Pfeiffer
• Shivaji Gajanan Phadke
• Eric Pham
• Huyphuc Pham, RN
• Jennifer Pham, PHARMD
• Kim N Pham, PA-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 Apr 28, 2022; 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.