Organization Active NPI

Precare Pharmacy Inc

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1912501735
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PRECARE PHARMACY INC
Practice address
340 E 149TH St # a
Bronx, NY 10451-5674
Phone
(347) 591-4422
Fax
(347) 591-4423
NPI assigned
Nov 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
Mr. Fady GraceNPI 1780920389
Title
Manager
Phone
(347) 591-4424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

340 E 149TH St # a
Bronx, NY 10451-5674

Mailing address

340 E 149TH St # a
Bronx, NY 10451-5674
Phone (347) 591-4422

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220830000291 NY Part B Supplier - Pharmacy 0345656120 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

340 E 149th St
#A
Bronx, NY 10451
Phone (347) 591-4422

Practitioners & affiliated clinicians

Practitioners 1

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": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1912501735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E 149TH ST # A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515674",
            "telephone_number": "347-591-4422",
            "fax_number": "347-591-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E 149TH ST # A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515674",
            "telephone_number": "347-591-4422",
            "fax_number": "347-591-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "FADY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-591-4424",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Jan 28, 2021; 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.