Organization Active NPI

Casa Pharmacy Inc

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1871089979
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
036565 Issued in NY
Legal business name
CASA PHARMACY INC
Practice address
456 Willis Ave
Bronx, NY 10455-4013
Phone
(718) 484-1551
Fax
(718) 484-1552
NPI assigned
Jul 2, 2018
Last updated
Apr 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Authorized official

Name
Ridha Ahmed Sr.NPI 1215447149
Title
Owner
Phone
(718) 484-1551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 036565 NY Primary

Addresses

Primary practice location

456 Willis Ave
Bronx, NY 10455-4013

Mailing address

456 Willis Ave
Bronx, NY 10455-4013
Phone (718) 484-1551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220801000580 NY Part B Supplier - Pharmacy 2163836198 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

456 Willis Ave
Bronx, NY 10455
Phone (718) 484-1551

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1871089979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 WILLIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554013",
            "telephone_number": "718-484-1551",
            "fax_number": "718-484-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 WILLIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554013",
            "telephone_number": "718-484-1551",
            "fax_number": "718-484-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "RIDHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-484-1551",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "036565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 25, 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.

Verify at the official NPI Registry.