Wonder Pharmacy Corp.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031133 Issued in NY

Legal business name

WONDER PHARMACY CORP.

Practice address

1665 Ralph Ave
Brooklyn, NY 11236-3317

Phone

(718) 209-3434

Fax

(718) 209-3279

NPI assigned

Apr 25, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Irina Ospovat

Title

President

Phone

(718) 209-3434

Specialties & licenses 1

Addresses

Other names 1

• SUPERMED PHARMACY Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1003174392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363317",
            "telephone_number": "718-209-3434",
            "fax_number": "718-209-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363317",
            "telephone_number": "718-209-3434",
            "fax_number": "718-209-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDER PHARMACY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "OSPOVAT",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-209-3434"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPERMED PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Won
• Kevin Won
• Stephanie Jung Won, MD
• Wonder Care Applied Behavior Analysis PLLC
• Wonder Consulting Inc.
• Wonder World Occupational Educational Center
• Wonder Years Psychiatric Services PLLC
• Wonderful Adult Care Center LLC
• Wonderful Life Adult Day Care LLC
• Wonderworld Educational Center

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.