Boom Pharmacy

LBN: Evers Rx Inc
Boom Pharmacy is an health care organization with primary practice located at 226 E 144Th St Fl 2 , Bronx NY 10451-5909. The organization recently has 6 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Evers Rx Inc can be contacted via phone (718) 292-0900, or through Watts, Dave via phone (718) 292-0900.

Contact Information

Primary practice address
226 E 144Th St Fl 2 Bronx NY 10451-5909
Phone: (718) 292-0900
Fax: (718) 292-0909
Website:
Map and Directions
Authorized official contact:
Name: Watts, Dave PHARM D
Phone: (718) 292-0900

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 031260 New York
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1801162375
LBN Legal business name Evers Rx Inc
DBA Doing business as Boom Pharmacy
Authorized official Watts, Dave PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2012
Last updated Dec 6th, 2016 - about 9 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 1801162375 NPPES
Other 2134434 PK
MEDICAID 03457196 PK

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