184TH ST PHARMACY CORP — NPI 1922348218 (Licensed & Credentialed Suppliers — Pharmacy, Community

CMS-1500 Box 24J / 33a • NPI

1922348218

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

3336C0003X (CMS 58)

Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy

Box 32 Service Location & ZIP+4

69 E 184TH ST, BRONX, NY, 10468-6501

✓ 9-Digit EDI 837 ZIP+4 (10468-6501)

Practice Phone & Referral Fax

(347) 787-5434

Fax: (347) 787-5435

⚠️ HHS OIG LEIE FEDERAL EXCLUSION ALERT: NPI 1922348218 matches an active entry in the HHS Office of Inspector General List of Excluded Individuals/Entities (Sec. 1128(a)(1) — Conviction of Program-Related Crimes (Mandatory 5-Yr Min) — Effective 2018-04-19). Verify before submitting Medicare/Medicaid claims.

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1922348218` (NPI-2 Organization / Facility)
Provider / Legal Name	184TH ST PHARMACY CORP
Plain-English Specialty	Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy NUCC Code: `3336C0003X` (Pharmacy, Community/Retail Pharmacy)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	69 E 184TH ST, BRONX, NY, 10468-6501
Practice Telephone / Fax	Tel: (347) 787-5434 \| Fax: (347) 787-5435
Administrative Mailing Address	69 E 184TH ST, BRONX, NY, 10468-6501
Enumeration & Last Sync	Enumerated: 2013-02-22 \| CMS Record Updated: 2013-02-22
Authorized Official	TAREK ELSAYED (owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

69 E 184TH ST, BRONX, NY, 10468-6501

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Plain-English Taxonomy & CMS Crosswalk (3336C0003X)

What Does Taxonomy Code 3336C0003X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3336C0003X translates to:
"Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 58 (Medical Supply Company with Pharmacist) • CMS Code A5 (Pharmacy)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacy, Community/Retail Pharmacy for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (184TH ST PHARMACY CORP)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`3336C0003X` — Pharmacy, Community/Retail Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy	State: NY \| License: `031663` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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184TH ST PHARMACY CORP (NPI #1922348218)