Four B'S Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029202 Issued in NY

Legal business name

FOUR B'S PHARMACY INC

Practice address

4035 95TH St
Elmhurst, NY 11373-6206

Phone

(718) 205-2411

Fax

(718) 205-2227

NPI assigned

Nov 21, 2008

Organization subpart

No

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

Authorized official

Name

Tomas Miranda

Title

President

Phone

(516) 270-3454

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Four B's Pharmacy Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1902051618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 95TH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113736206",
            "telephone_number": "718-205-2411",
            "fax_number": "718-205-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 95TH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113736206",
            "telephone_number": "718-205-2411",
            "fax_number": "718-205-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR B'S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "TOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-270-3454"
    },
    "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": "029202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118129",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3063494",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four B's Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna J Fordham, CAC
• Nili Hannah Forgy
• Lisa Dianne Forman, M.D.
• Adolfo Fortier, LMSW
• Yanique Simone Foster
• Four Square Physical Therapy PC
• Armando F Fox, MD
• Barbara Waclawa Frackowiak, M.D.
• Dino Baylon Francisco
• Lauren Brittany Gongora Francisco, MD

• Community/Retail Pharmacy in Elmhurst, NY
• Providers in Elmhurst, 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 Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.