Southbronxrxinc
NPI 1164828125 · Community/Retail Pharmacy · Bronx, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southbronxrxinc is a Community/Retail Pharmacy organization in Bronx, NY (NPI 1164828125).
Provider details
- NPI number
- 1164828125
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ajantha Bommareddy, President(201) 400-2286
- License
- 033226 (NY)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-11-18
- Last updated
- 2016-09-20
Frequently asked questions
- What is Southbronxrxinc's NPI number?
- Southbronxrxinc's National Provider Identifier (NPI) is 1164828125, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southbronxrxinc?
- Southbronxrxinc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Southbronxrxinc located?
- Southbronxrxinc's practice location on file with NPPES is 1650 Grand Concourse, Bronx, NY 10457-7606.
- What is Southbronxrxinc's phone number?
- The practice phone number listed in the NPPES registry for Southbronxrxinc is (718) 538-3385.
- Does Southbronxrxinc accept Medicare?
- Southbronxrxinc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southbronxrxinc?
- The authorized official listed on Southbronxrxinc's NPPES record is Ajantha Bommareddy, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southbronxrxinc's NPI active?
- Yes — Southbronxrxinc's NPI (1164828125) is active in the NPPES registry as of the last update on 2016-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.