Organization Active NPI

Lada Pharmacy

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1023027653
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
026640 Issued in NY
Legal business name
LADA PHARMACY
Practice address
1864 86TH St
Brooklyn, NY 11214-3107
Phone
(718) 234-7272
Fax
(718) 234-2360
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Authorized official

Name
Mrs. Lena Goldenstein, RPHNPI 1154653285
Title
President
Phone
(718) 234-7272

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
Community/Retail Pharmacy 3336C0003X 026640 NY Primary

Addresses

Primary practice location

1864 86TH St
Brooklyn, NY 11214-3107

Mailing address

1864 86TH St
Brooklyn, NY 11214-3107
Phone (718) 234-7272

Other identifiers 1

IdentifierTypeStateIssuer
02570703MedicaidNY

Other names 1

  • Empire Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930023547 NY DME Supplier - Pharmacy 3173732005 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New York, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1023027653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1864 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143107",
            "telephone_number": "718-234-7272",
            "fax_number": "718-234-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143107",
            "telephone_number": "718-234-7272",
            "fax_number": "718-234-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "GOLDENSTEIN",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-234-7272",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02570703",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empire Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.