Willis Star Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

032335 Issued in NY

Legal business name

WILLIS STAR PHARMACY INC.

Practice address

208 Willis Ave
Bronx, NY 10454-4844

Phone

(718) 585-6300

Fax

(718) 585-1213

NPI assigned

Dec 13, 2013

Organization subpart

No

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

Authorized official

Name

Satya Dasari

Title

President

Phone

(718) 585-6300

Specialties & licenses 1

Addresses

Other names 1

• WILLIS PHARMACY Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1952732166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 WILLIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544844",
            "telephone_number": "718-585-6300",
            "fax_number": "718-585-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 WILLIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544844",
            "telephone_number": "718-585-6300",
            "fax_number": "718-585-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS STAR PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "DASARI",
        "authorized_official_first_name": "SATYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-585-6300"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILLIS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chanae Paris Willingham, RN
• Willis 146 Pharmacy Inc
• Willis Ave Drugs Inc
• Willis Care Pharmacy Inc
• Willis Dental Care, P.L.L.C.
• Aaliyah Willis, LMSW
• Adrienne Christina Willis, LMT
• Crystal Willis
• Frederick Willis
• Israel Willis

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.