NPIMap

Organization Active NPI

Calvary Hospital Pharmacy

  • Institutional Pharmacy
  • Bronx, NY
National Provider Identifier
1962769471
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
016223 Issued in NY
Legal business name
CALVARY HOSPITAL PHARMACY
Doing business as
CALVARY HOSPITAL PHARMACY
Practice address
1740 Eastchester Rd
Bronx, NY 10461-2300
Phone
(718) 518-2010
Fax
(718) 518-2675
NPI assigned
Apr 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Authorized official

Name
John Grom
Title
Director of Pharmacy
Phone
(718) 518-2009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 016223 NY Primary

Addresses

Primary practice location

1740 Eastchester Rd
Bronx, NY 10461-2300

Mailing address

1740 Eastchester Rd
Bronx, NY 10461-2300
Phone (718) 518-2010

Other identifiers 2

IdentifierTypeStateIssuer
3367023OtherNCPDP PROVIDER IDENTIFICATION NUMBER
00273107MedicaidNY

Other names 1

  • CALVARY HOSPITAL PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Michael J Brescia4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1962769471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 EASTCHESTER RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612300",
            "telephone_number": "718-518-2010",
            "fax_number": "718-518-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 EASTCHESTER RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612300",
            "telephone_number": "718-518-2010",
            "fax_number": "718-518-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVARY HOSPITAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "GROM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "718-518-2009"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NY",
            "license": "016223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3367023",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00273107",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CALVARY HOSPITAL 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 Apr 20, 2012; 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.