Active NPI
DD Pharmacy Inc
Doing business as Leroy Pharmacy
- Community/Retail Pharmacy
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 022445
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01874657 | Medicaid | NY | |
| 2057257 | Other | PK |
Other names 1
- LEROY PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930002830 | NY | DME Supplier - Pharmacy | 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| DD Pharmacy Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Bronx Eden Pharmacy
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1568588390
Member Of
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Bronx Eden Pharmacy
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1568588390
Member Of
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.
-
- Pharmacist
- Bronx, NY
- NPI 1164674107
-
- Pharmacist
- Bronx, NY
- NPI 1770730525
-
- Pharmacist
- Bronx, NY
- NPI 1144650243
-
- Pharmacist
- Bronx, NY
- NPI 1528398468
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.