Organization Active NPI

5247 Broadway Drugs Inc

Doing business as Drug Mart

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1942221908
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022921 Issued in NY
Legal business name
5247 BROADWAY DRUGS INC
Doing business as
Drug Mart
Practice address
5203A Broadway
Bronx, NY 10463-7636
Phone
(718) 562-6637
Fax
(718) 562-5031
NPI assigned
Jul 22, 2006
Last updated
May 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Authorized official

Name
Ashok BarvaliaNPI 1104149707
Title
President,Ao
Phone
(718) 562-6637

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 022921 NY Primary

Addresses

Primary practice location

5203A Broadway
Bronx, NY 10463-7636

Mailing address

5203A Broadway
Bronx, NY 10463-7636
Phone (718) 562-6637

Other identifiers 2

IdentifierTypeStateIssuer
2060694OtherPK
01639367MedicaidNY

Other names 1

  • DRUG MART Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930082551 NY DME Supplier - Pharmacy 1951510957 Practice locations: Bronx, NY
O20210209001593 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1951510957 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
5247 Broadway Drugs Inc5203A Broadway, Bronx, NY 10463-7636(718) 562-6637 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Ostomy Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Nebulizer Equipmen… Does not accept assignmentParticipating since Jun 12, 2004

National Provider Directory

National Provider Directory

Locations

5203A Broadway
Bronx, NY 10463
Phone (718) 562-6637

Practitioners & affiliated clinicians

Practitioners 3

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1942221908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203A BROADWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104637636",
            "telephone_number": "718-562-6637",
            "fax_number": "718-562-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203A BROADWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104637636",
            "telephone_number": "718-562-6637",
            "fax_number": "718-562-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5247 BROADWAY DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "BARVALIA",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_title_or_position": "PRESIDENT,AO",
        "authorized_official_telephone_number": "718-562-6637"
    },
    "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": "022921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2060694",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01639367",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRUG MART",
            "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 May 14, 2015; 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.