NPIMap

Organization Active NPI

Grand Concourse Pharmacy Inc

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1992023352
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
030089 Issued in NY
Legal business name
GRAND CONCOURSE PHARMACY INC
Practice address
233 E Tremont Ave
Bronx, NY 10457-5303
Phone
(718) 901-3186
NPI assigned
May 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Mohammad Shabbir
Title
President
Phone
(718) 901-3186

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 030089 NY Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

233 E Tremont Ave
Bronx, NY 10457-5303

Mailing address

233 E Tremont Ave
Bronx, NY 10457-5303
Phone (718) 901-3186

Other identifiers 2

IdentifierTypeStateIssuer
3236564MedicaidNY
5800176OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Grand Concourse Pharmacy Inc Doing business as

National Provider Directory

National Provider Directory

Locations

233 E Tremont Ave
Bronx, NY 10457
Phone (718) 901-3186

Practitioners & affiliated clinicians

Practitioners 3

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": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1992023352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575303",
            "telephone_number": "718-901-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575303",
            "telephone_number": "718-901-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND CONCOURSE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "SHABBIR",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-901-3186"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030089",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3236564",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5800176",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Concourse Pharmacy Inc",
            "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 Mar 28, 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.