Sedgwick Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SEDGWICK PHARMACY INC

Practice address

3887 Sedgwick Ave
Bronx, NY 10463-4432

Phone

(718) 543-3116

NPI assigned

Dec 13, 2023

Organization subpart

No

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

Authorized official

Name

Vincent MazzamutoNPI 1154422582

Title

President

Phone

(718) 543-3116

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vincent Mazzamuto, RPH

  • Pharmacist
  • Bronx, NY
  • NPI 1154422582
  NPD Authorized official
• Adam Agovino, PHARMD

  • Pharmacist
  • Bronx, NY
  • NPI 1134348899
  NPD

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1902674575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3887 SEDGWICK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634432",
            "telephone_number": "718-543-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3887 SEDGWICK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634432",
            "telephone_number": "718-543-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDGWICK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "MAZZAMUTO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-543-3116"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00301799",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hazel Reyes Secreto, PT
• Sector Wide Health Inc
• Alberto Seda, R.PH.
• Mahsa Sedaghati, M.D.
• Sedgwick Pharmacy Inc
• Josephine Sedita
• Lucie Sedlacek, MD
• Ludmila Sedlackova, M.D
• Sedon Transportation Inc.
• Michael A Sedrish, M.D.

• Long Term Care Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.