Organization Active NPI

Prospect Gardens Pharmacy Inc.

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1013927474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
026933 Issued in NY
Legal business name
PROSPECT GARDENS PHARMACY INC.
Practice address
89 7TH Ave
Brooklyn, NY 11217-3601
Phone
(718) 638-4030
Fax
(718) 638-4053
NPI assigned
Aug 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Howard Barry BaskindNPI 1184948028
Title
President
Phone
(718) 638-4030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 026933 NY Primary

Addresses

Primary practice location

89 7TH Ave
Brooklyn, NY 11217-3601

Mailing address

89 7TH Ave
Brooklyn, NY 11217-3601
Phone (718) 638-4030

Other identifiers 1

IdentifierTypeStateIssuer
00731580MedicaidNY

National Provider Directory

National Provider Directory

Locations

89 7th Ave
Brooklyn, NY 11217
Phone (718) 638-4030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013927474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173601",
            "telephone_number": "718-638-4030",
            "fax_number": "718-638-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173601",
            "telephone_number": "718-638-4030",
            "fax_number": "718-638-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT GARDENS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BASKIND",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-638-4030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "026933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00731580",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.