Big Mart Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

027306 Issued in NY

Legal business name

BIG MART PHARMACY INC

Doing business as

BIG MART PHARMACY INC

Practice address

2740 3Rd Ave
Bronx, NY 10455-4036

Phone

(718) 292-3116

Fax

(718) 292-3142

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Raheel Pervez

Title

President

Phone

(718) 292-3116

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BIG MART PHARMACY INC Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Tax ID family

Big Mart Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Big Mart Pharmacy Inc

  • Pharmacy
  • Bronx, NY
  • NPI 1073667432
  NPD tax ID

Locations

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1861575805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554036",
            "telephone_number": "718-292-3116",
            "fax_number": "718-292-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554036",
            "telephone_number": "718-292-3116",
            "fax_number": "718-292-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG MART PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "PERVEZ",
        "authorized_official_first_name": "RAHEEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-292-3116"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3352414",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIG MART PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Doris Biggs, SLP
• Everton Constantine Biggs, SPECIALIST

• 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 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.