Burnside Pharmacy

LBN: 75 Burnside Drug And Surgical Inc
Burnside Pharmacy is an health care organization with primary practice located at 75 W Burnside Ave , Bronx NY 10453-4015. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. 75 Burnside Drug And Surgical Inc can be contacted via phone (718) 731-8505, or through Abraham, Varghese via phone (718) 731-8505.

Contact Information

Primary practice address
75 W Burnside Ave Bronx NY 10453-4015
Phone: (718) 731-8505
Fax: (718) 731-8127
Website:
Map and Directions
Authorized official contact:
Name: Abraham, Varghese B.PHARM
Phone: (718) 731-8505

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 024771 New York

Profile Details

NPI number 1922147974
LBN Legal business name 75 Burnside Drug And Surgical Inc
DBA Doing business as Burnside Pharmacy
Authorized official Abraham, Varghese B.PHARM
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Apr 5th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922147974 NPPES
New York MEDICAID 02082915
New York Other 2061635

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