SOUTHBRONXRXINC
NPI 1164828125
Pharmacy - Community/Retail Pharmacy in Bronx, NY

Active since November 18, 2014
1650 GRAND CONCOURSE, BRONX, NY 10457(718) 538-3385(718) 538-3384 Get Directions Write a Review

NPPES record last updated: September 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southbronxrxinc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHBRONXRXINC (NPI 1164828125) is a healthcare organization registered as a community/retail pharmacy in Bronx, New York and active in the NPI registry since November 2014. The organization lists Ajantha Bommareddy, President, as its authorized official.

NPPES Registry Identity

NPI1164828125
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSOUTHBRONXRXINC
Location Address1650 GRAND CONCOURSEBronx, NY 10457-7606
Mailing Address1650 Grand ConcourseBronx, NY 10457-7606 · (718) 538-3385 · Fax (718) 538-3384
Fax(718) 538-3384
Organization SubpartNo
Authorized OfficialAjantha BommareddyPresident · (201) 400-2286
Enumeration DateNovember 18, 2014
Last NPPES UpdateSeptember 20, 2016
NPI 1164828125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in NY · 033226
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
1650 GRAND CONCOURSE, Bronx, NY 10457

Other Identifiers 2

Other033226NY · New York State Board Of Pharmacy
Medicare NSC7369100001NY

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories South Bronx Rx Inc carries, from the Medicare DMEPOS supplier directory.

South Bronx Rx Inc

DMEPOS supplier · Bronx, NY

Does not accept Medicare assignment

South Bronx Rx Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)21610305
Medicare Participant SinceJune 3, 2015
Supplier Location1650 Grand ConcourseBronx, NY 10457
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1650 GRAND CONCOURSE
BRONX, NY 10457
Clinic/Center
1650 GRAND CONCOURSE
BRONX, NY 10457
Emergency Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Family Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
1650 GRAND CONCOURSE
BRONX, NY 10457
Internal Medicine (Gastroenterology)
1650 GRAND CONCOURSE
BRONX, NY 10457
Internal Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Family Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southbronxrxinc's NPI number?

The NPI number for Southbronxrxinc is 1164828125. It was assigned to this organization in the NPPES registry on November 18, 2014.

Where is Southbronxrxinc located?

Southbronxrxinc is located at 1650 Grand Concourse, Bronx, NY 10457. The listed phone number is (718) 538-3385.

What is Southbronxrxinc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Southbronxrxinc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, South Bronx Rx Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Southbronxrxinc accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and AvMed and 31 other insurers list Southbronxrxinc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southbronxrxinc was last updated on September 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.