Organization Active NPI

Alliance Prescription Services Inc

Doing business as Medstop Pharmacy & Surgical Supplies

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1912292848
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
030744 Issued in NY
Legal business name
ALLIANCE PRESCRIPTION SERVICES INC
Doing business as
Medstop Pharmacy & Surgical Supplies
Practice address
1330 Jerome Ave
Bronx, NY 10452-3316
Phone
(718) 552-2278
Fax
(718) 552-2280
NPI assigned
Jun 20, 2011
Last updated
Sep 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
James Jacob
Title
President
Phone
(718) 552-2278

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 030744 NY Primary

Addresses

Primary practice location

1330 Jerome Ave
Bronx, NY 10452-3316

Mailing address

1330 Jerome Avenue
Bronx, NY 10452
Phone (718) 552-2278

Other identifiers 2

IdentifierTypeStateIssuer
03349199MedicaidNY
5802699OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Medstop Pharmacy & Surgical Supplies Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110823000746 NY DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Medical Supply Company With Orthotic Personnel 7315117785 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

1330 Jerome Ave
Bronx, NY 10452
Phone (718) 552-2278

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1912292848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 JEROME AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10452",
            "telephone_number": "718-552-2278",
            "fax_number": "718-552-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104523316",
            "telephone_number": "718-552-2278",
            "fax_number": "718-552-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE PRESCRIPTION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-552-2278"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03349199",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5802699",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medstop Pharmacy & Surgical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.