Organization Active NPI

DD Pharmacy Inc

Doing business as Leroy Pharmacy

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1952475477
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022445 Issued in NY
Legal business name
DD PHARMACY INC
Doing business as
Leroy Pharmacy
Practice address
1448 Metropolitan Ave
Bronx, NY 10462-7402
Phone
(718) 823-4344
Fax
(718) 823-0750
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Pushpa Desai
Title
Pharm MGR
Phone
(718) 823-4344

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 022445 NY Primary

Addresses

Primary practice location

1448 Metropolitan Ave
Bronx, NY 10462-7402

Mailing address

1448 Metropolitan Ave
Bronx, NY 10462-7402
Phone (718) 823-4344

Other identifiers 2

IdentifierTypeStateIssuer
01874657MedicaidNY
2057257OtherPK

Other names 1

  • LEROY PHARMACY Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930002830 NY DME Supplier - PharmacyDME Supplier - Orthotic PersonnelDME Supplier - Oxygen & EquipmentDME Supplier - Prosthetic Personnel 7315068186 Practice locations: Bronx, NY
O20150220002090 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7315068186 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
DD Pharmacy Inc1448 Metropolitan Ave, Bronx, NY 10462-7402(718) 823-4344 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Sep 1, 2014

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1448 Metropolitan Ave
Bronx, NY 10462
Phone (718) 823-4344

Practitioners & affiliated clinicians

Practitioners 4

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": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1952475477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 METROPOLITAN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104627402",
            "telephone_number": "718-823-4344",
            "fax_number": "718-823-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 METROPOLITAN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104627402",
            "telephone_number": "718-823-4344",
            "fax_number": "718-823-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "PUSHPA",
        "authorized_official_title_or_position": "PHARM MGR",
        "authorized_official_telephone_number": "718-823-4344"
    },
    "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": "022445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01874657",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2057257",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEROY PHARMACY",
            "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 Dec 20, 2016; 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.