BRADDOCK PHARMACY LLC (NPI# 1801260617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801260617 |
| Entity Type | Organization |
| Organization Name | BRADDOCK PHARMACY LLC |
| Practice Address |
236-01a Braddock Ave. Bellerose NY 11426 |
| Practice Telephone | 7183471516 |
| Practice Fax Number | 7183471789 |
| Mailing Telephone | 7183471516 |
| Mailing Fax Number | 7183471789 |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |
| Authorized Official Name | DIPESH SHAH (OWNER) |
| Authorized Official Telephone | 7183471516 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 032318 | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NPI# | 1497185128 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497185128 | Braddock Pharmacy LLC | Pharmacy | 23601a Braddock Ave, Bellerose, NY 11426-1143 | 2013-11-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BRADDOCK PHARMACY LLC | 236-01a Braddock Avenue, Bellrose, New York 11426 |
| Street Address |
236-01A BRADDOCK AVE. |
| City | BELLEROSE |
| State | NY |
| Zip Code | 11426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851940597 | Shanti Niketan Inc | Clinic/Center | 236-03 Braddock, Shantiniketan - A Senior Day Care Center, Bellerose, NY 11426 | 2019-09-05 |
| 1558919779 | Azalea Andrews | Licensed Practical Nurse | 86-19 232nd Street, Bellrose, NY 11426 | 2019-08-30 |
| 1477041887 | Danielle Festa | Behavioral Analyst | 245-48b 76th Ave, Bellerose, NY 11426 | 2018-05-01 |
| 1740706654 | Nusaiba Ally | Speech-Language Pathologist | 252-12 72nd Ave, Jamaica, NY 11426 | 2017-08-22 |
| 1417472978 | Bernard Mateo Lapuz | Registered Nurse | 88-12 238th St, Bellerose, NY 11426 | 2017-08-06 |
| 1871034181 | Audrey Mejia | Registered Nurse | 242-16 93rd Ave, Bellerose, NY 11426 | 2017-03-20 |
| 1841742962 | Renee Hamilton-beckford | Health Educator | 9208 242 Street, Floor 3, Bellerose, NY 11426 | 2016-10-25 |
| 1841749546 | Anne Spencer | Registered Nurse | 247-35b 77th Cres., Bellerose, NY 11426 | 2016-09-23 |
| 1033505540 | Bellerose Rx Inc | Pharmacy | 248-15 Union Turnpike, Bellerose, NY 11426 | 2015-04-10 |
| 1497156079 | Avani Jani | Physical Therapist | 246-03 81st Avenue, Bellerose, NY 11426 | 2014-09-15 |
| Find all providers in zip 11426 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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| 1780766220 | Hospice of Orleans, Inc. | Hospice Care, Community Based | 14080 State Route 31, Albion, NY 14411-9301 | 2006-10-20 |
| 1013001197 | Hospice of New York, LLC | Hospice Care, Community Based | 4518 Court Sq Ste 500, Long Island City, NY 11101-4347 | 2006-10-03 |
| 1912098666 | The Caring Coalition of Central New York | Hospice Care, Community Based | 990 7th North St, Liverpool, NY 13088-3148 | 2006-09-27 |
| 1477652113 | Niagara Hospice, Inc. | Hospice Care, Community Based | 4675 Sunset Dr, Lockport, NY 14094-1231 | 2006-09-21 |
| 1306941117 | Comfortcare of Cayuga County Inc | Hospice Care, Community Based | 1130 Corporate Drive, Auburn, NY 13021-1637 | 2006-09-14 |
| 1396759213 | Hospice of Fulton County Inc | Hospice Care, Community Based | 108 Steele Ave, Gloversville, NY 12078-4617 | 2006-07-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.