Organization Active NPI

Halo Health Pharmacy Incorporated

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1902789928
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HALO HEALTH PHARMACY INCORPORATED
Practice address
459 E 149TH St Ste A104
Bronx, NY 10455-1789
Phone
(212) 381-8350
Fax
(212) 381-8351
NPI assigned
Jul 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
John Lee
Title
President
Phone
(847) 873-5173

Specialties & licenses 1

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

Addresses

Primary practice location

459 E 149TH St Ste A104
Bronx, NY 10455-1789

Mailing address

459 E 149TH St Ste A104
Bronx, NY 10455-1789
Phone (212) 381-8350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20251027000745 NY Part B Supplier - Mass Immunization (Roster Biller Only) 3870082308 Practice locations: Bronx, NY
O20251126000658 NY DME Supplier - Pharmacy 3870082308 Practice locations: Bronx, NY
O20260317000103 NY Part B Supplier - Pharmacy 3870082308 Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Halo Health Pharmacy Incorporated459 E 149TH St, Bronx, NY 10455-1789(212) 381-8350 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Po… Does not accept assignmentParticipating since Oct 15, 2025

National Provider Directory

National Provider Directory

Locations

459 E 149th St
Ste A104
Bronx, NY 10455
Phone (212) 381-8350

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1902789928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 E 149TH ST STE A104",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551789",
            "telephone_number": "212-381-8350",
            "fax_number": "212-381-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 E 149TH ST STE A104",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551789",
            "telephone_number": "212-381-8350",
            "fax_number": "212-381-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO HEALTH PHARMACY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-873-5173"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "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 Aug 14, 2025; 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.