NPIMap

Organization Active NPI

Ez Super Pharmacy Inc.

  • Health Maintenance Organization
  • Bronx, NY
National Provider Identifier
1891937165
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
029343 Issued in NY
Legal business name
EZ SUPER PHARMACY INC.
Practice address
3716 3Rd Ave
Bronx, NY 10456-2103
Phone
(718) 992-1204
Fax
(718) 992-2501
NPI assigned
Apr 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Authorized official

Name
Mr. Abdul R Sajid, PRES.
Title
President
Phone
(718) 992-1204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 029343 NY Primary

Addresses

Primary practice location

3716 3Rd Ave
Bronx, NY 10456-2103

Mailing address

37-16 3Rd Ave.
Bronx, NY 10456
Phone (718) 992-1204

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1891937165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37-16 3RD AVE.",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10456",
            "telephone_number": "718-992-1204",
            "fax_number": "718-992-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104562103",
            "telephone_number": "718-992-1204",
            "fax_number": "718-992-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ SUPER PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "SAJID",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-992-1204",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PRES."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "029343",
            "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 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.