Montefiore Community Pharmacy @ Moses

LBN: Montefiore Medical Center
Montefiore Community Pharmacy @ Moses is an health care organization with primary practice located at 111 E 210Th St Fcc Building Ground Floor, Bronx NY 10467. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Montefiore Medical Center can be contacted via phone (718) 920-7869, or through Tuckman, Steven W via phone (718) 920-5194.

Contact Information

Primary practice address
111 E 210Th St Fcc Building Ground Floor Bronx NY 10467
Phone: (718) 920-7869
Fax: (718) 654-7690
Website:
Map and Directions
Authorized official contact:
Name: Tuckman, Steven W
Phone: (718) 920-5194

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 024608 New York
Suppliers / Community/Retail Pharmacy 3336C0003X 024608 New York
Suppliers / Specialty Pharmacy 3336S0011X 024608 New York

Profile Details

NPI number 1427185057
LBN Legal business name Montefiore Medical Center
DBA Doing business as Montefiore Community Pharmacy @ Moses
Authorized official Tuckman, Steven W
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated May 28th, 2019 - 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 1427185057 NPPES
New York MEDICAID 02009598
New York Other 024608
New York Other 3310810

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