Kingsbridge Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

033981 Issued in NY

Legal business name

KINGSBRIDGE PHARMACY CORP

Practice address

145 W Kingsbridge Rd
Bronx, NY 10468-3914

Phone

(718) 708-8665

Fax

(718) 708-8667

NPI assigned

Oct 6, 2015

Organization subpart

No

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

Authorized official

Name

Fenil Shah

Title

President

Phone

(732) 429-4392

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• KINGSBRIDGE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1881064616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W KINGSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683914",
            "telephone_number": "718-708-8665",
            "fax_number": "718-708-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W KINGSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683914",
            "telephone_number": "718-708-8665",
            "fax_number": "718-708-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSBRIDGE PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "FENIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-429-4392"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "033981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04357219",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154758",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINGSBRIDGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kingsbridge Community Medical PC
• Kingsbridge Heights Care Ctr Inc.
• Kingsbridge Heights Lthhcp
• Kingsbridge Medical Services, PLLC
• Kingsbridge Optometric Eye Care P.C.
• Kingsbridge Pharmacy RX Corp.
• Kingscross Children Therapy and Autism Services
• Nunichu B Kingsley, LPN,RN
• Kingsway Med LLC
• Jyoti Kini, MD

• 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, 2016; 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.