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Export Provider Record NPI 1114259330
Water Place Pharmacy Llc
Organization Subpart: NO
Active
NPI Number1114259330
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1114259330
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2010-02-13
Last Updated2023-10-02
Authorized OfficialNeil Subes
PHARMACY MANAGER
Phone: 7188223700
Mailing Address313 E 161st St
Bronx, NY 10451-3535
United States
Phone: (718) 822-3700 | Fax: (718) 822-3711
📍 View Map
Primary Practice Address313 E 161st St
Bronx, NY 10451-3535
United States
Phone: (718) 822-3700 | Fax: (718) 822-3711
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)NY029914STATE BOARD
MEDICAIDNY03197293
Other (non-Medicare)3364546NCPDP
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes3336C0003X – Pharmacy, Community/Retail PharmacyNY029914
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About NPI 1114259330

Water Place Pharmacy Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1114259330. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Bronx, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2010-02-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1114259330?

NPI 1114259330 belongs to Water Place Pharmacy Llc, a Pharmacy, Community/Retail Pharmacy in Bronx, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1114259330 active?

The current status of NPI 1114259330 in the NPPES registry is Active. The record was last updated on 2023-10-02.

What specialty is NPI 1114259330?

NPI 1114259330 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1114259330?

You can verify NPI 1114259330 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1114259330?

The primary practice address on file for NPI 1114259330 is 313 E 161st St, Bronx, NY 10451-3535. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1114259330 issued?

NPI 1114259330 was first issued (enumerated) on 2010-02-13. The NPPES record was last updated on 2023-10-02.

Practice Location Map

Water Place Pharmacy Llc is located at 313 E 161st St, Bronx, NY. Use the map below to find directions or verify the practice location.

📍 313 E 161st St, Bronx, NY 10451-3535  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Water Place Pharmacy Llc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1114259330. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail Pharmacy029914NY
Data Verified from CMS NPPES Last synced: 2026-06-27 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162