Active NPI
Health Mart RX Corp
Doing business as Health Mart Pharmacy
- Community/Retail Pharmacy
- Yonkers, NY
National Provider Identifier
1861909996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HEALTH MART RX CORP
- Doing business as
- Health Mart Pharmacy
Healthmart Pharmacy - Practice address
- 970 N Broadway Ste 111B
Yonkers, NY 10701-1310 - Phone
- (914) 652-7159
- Fax
- (914) 652-7157
- NPI assigned
- Jan 10, 2018
- 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
- Ruba Annabi
- Title
- President
- Phone
- (914) 310-2485
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
970 N Broadway Ste 111B
Yonkers, NY 10701-1310
Mailing address
970 N Broadway Ste 111B
Yonkers, NY 10701-1310
Phone (914) 652-7159
Other names 2
- HEALTH MART PHARMACY
- HEALTHMART PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200330002746 | NY | DME Supplier - Pharmacy | 2668801457 | Practice locations: Yonkers, NY |
| O20230310000514 | NY | Part B Supplier - Pharmacy | 2668801457 | Practice locations: Yonkers, NY |
National Provider Directory
National Provider DirectoryLocations
1789 Central Park Ave
Yonkers, NY 10710
Phone (914) 652-7157
970 N Broadway
Ste 111B
Yonkers, NY 10701
Phone (914) 652-7159
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Yonkers, NY
- NPI 1033432547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675814400000",
"number": "1861909996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 N BROADWAY STE 111B",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011310",
"telephone_number": "914-652-7159",
"fax_number": "914-652-7157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 N BROADWAY STE 111B",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011310",
"telephone_number": "914-652-7159",
"fax_number": "914-652-7157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH MART RX CORP",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-10",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A",
"authorized_official_last_name": "ANNABI",
"authorized_official_first_name": "RUBA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "914-310-2485"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HEALTH MART PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HEALTHMART PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.