Organization Active NPI

Community Receta Inc

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1952384729
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
026315 Issued in NY
Legal business name
COMMUNITY RECETA INC
Doing business as
Community Receta Inc
Practice address
1713 University Ave
Bronx, NY 10453-6961
Phone
(718) 299-3044
Fax
(718) 299-4809
NPI assigned
Nov 25, 2005
Last updated
Sep 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Akhtar Hussain
Title
Owner
Phone
(718) 299-3044

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 026315 NY Primary

Addresses

Primary practice location

1713 University Ave
Bronx, NY 10453-6961

Mailing address

1713 University Ave
Bronx, NY 10453-6961
Phone (718) 299-3044

Other identifiers 2

IdentifierTypeStateIssuer
02415956MedicaidNY
2061105OtherPK

Other names 1

  • COMMUNITY RECETA INC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221003001471 NY Part B Supplier - Pharmacy 5991912412 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

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": "1132876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1952384729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 UNIVERSITY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104536961",
            "telephone_number": "718-299-3044",
            "fax_number": "718-299-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 UNIVERSITY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104536961",
            "telephone_number": "718-299-3044",
            "fax_number": "718-299-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RECETA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-25",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "AKHTAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-299-3044"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02415956",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2061105",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY RECETA INC",
            "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 30, 2014; 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.