Bradhurst Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

026606 Issued in NY

Legal business name

BRADHURST PHARMACY INC

Doing business as

Bradhurst Pharmacy Inc

Practice address

95 Grasslands Rd
1St FLR Ste 140a
Valhalla, NY 10595-1652

Phone

(914) 345-3838

Fax

(914) 345-3840

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dean Abrams

Title

Supervising Pharmacist

Phone

(914) 345-3838

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BRADHURST PHARMACY INC Doing business as

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1912004854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 GRASSLANDS RD",
            "address_2": "1ST FLR STE 140A",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951652",
            "telephone_number": "914-345-3838",
            "fax_number": "914-345-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 GRASSLANDS RD",
            "address_2": "1ST FLR STE 140A",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951652",
            "telephone_number": "914-345-3838",
            "fax_number": "914-345-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADHURST PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "ABRAMS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "914-345-3838"
    },
    "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": "026606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2533122",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2062522",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRADHURST PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Boston Children's Health Physicians of New Jersey, LLC
• Manel Bouchama
• Deanna Laverne Boursiquot, NURSE PRACTITIONER
• Kristine Boyer, FNP
• Dennis Boyle, MD
• Ankita Brahmaroutu, MD
• Joseph James Branco, MD
• Sydney Faith Brannen, MB, BCH, BAO
• Alex Braun, M.D.
• Samantha Lee Brech

• Community/Retail Pharmacy in Valhalla, NY
• Providers in Valhalla, 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 Nov 29, 2016; 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.