SUPREME PHARMACY INC.
NPI 1346887833
Pharmacy - Community/Retail Pharmacy in Bronx, NY

Active since December 04, 2019
990 SOUTHERN BLVD, BRONX, NY 10459(718) 282-2000(718) 282-0222 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2025, Nov 6, 2025, Mar 2, 2023 and 3 more (6 updates tracked since 2019).

About Supreme Pharmacy Inc. NPPES

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

SUPREME PHARMACY INC. (NPI 1346887833), doing business as Queen Mary Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Bronx, New York and active in the NPI registry since December 2019. The organization lists Krupa Sannidhi, Owner, as its authorized official.

NPPES Registry Identity

NPI1346887833
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSUPREME PHARMACY INC.
Location Address990 SOUTHERN BLVDBronx, NY 10459-3402
Mailing Address990 Southern BlvdBronx, NY 10459-3402 · (718) 282-2000 · Fax (718) 282-0222
Fax(718) 282-0222
Organization SubpartNo
Authorized OfficialKrupa SannidhiOwner · (718) 282-2000
Enumeration DateDecember 4, 2019
Last NPPES UpdateNovember 10, 20256 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
NPI 1346887833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
990 SOUTHERN BLVD, Bronx, NY 10459

Other Names 2

Doing Business AsQueen Mary Pharmacy
Doing Business AsSouthern Blvd Pharmacy

Other Identifiers 1

Medicaid06075896NY

Accepted Insurance

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 Supreme Pharmacy Inc.'s NPI number?

The NPI number for Supreme Pharmacy Inc. is 1346887833. It was assigned to this organization in the NPPES registry on December 4, 2019. The provider is doing business as Queen Mary Pharmacy and Southern Blvd Pharmacy.

Where is Supreme Pharmacy Inc. located?

Supreme Pharmacy Inc. is located at 990 Southern Blvd, Bronx, NY 10459. The listed phone number is (718) 282-2000.

What is Supreme Pharmacy Inc.'s specialty?

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

What insurance does Supreme Pharmacy Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 42 other insurers list Supreme Pharmacy Inc. 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 Supreme Pharmacy Inc. was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.