Organization Active NPI

Co-Op City Pharmacy, Inc

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1952685612
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
030908 Issued in NY
Legal business name
CO-OP CITY PHARMACY, INC
Practice address
161 Einstein Loop
Bronx, NY 10475-4902
Phone
(718) 708-8171
Fax
(718) 708-8172
NPI assigned
Sep 29, 2011
Last updated
Dec 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Authorized official

Name
Mr. Arkadiy Royzner
Title
Owner
Phone
(917) 703-1811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 030908 NY Primary

Addresses

Primary practice location

161 Einstein Loop
Bronx, NY 10475-4902

Mailing address

161 Einstein Loop
Bronx, NY 10475-4902
Phone (718) 708-8171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111206000802 NY DME Supplier - Pharmacy 0244405066 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
Co-Op City Pharmacy Inc161 Einstein Loop, Bronx, NY 10475-4902(718) 708-8171 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Oct 10, 2011

National Provider Directory

National Provider Directory

Member organizations 1

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

Locations

161 Einstein Loop
Bronx, NY 10475
Phone (718) 708-8171

167 Einstein Loop
Bronx, NY 10475
Phone (718) 708-8171

Practitioners & affiliated clinicians

Practitioners 2

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": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1952685612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 EINSTEIN LOOP",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754902",
            "telephone_number": "718-708-8171",
            "fax_number": "718-708-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 EINSTEIN LOOP",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754902",
            "telephone_number": "718-708-8171",
            "fax_number": "718-708-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CO-OP CITY PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "ROYZNER",
        "authorized_official_first_name": "ARKADIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-703-1811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "030908",
            "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 Dec 11, 2012; 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.