Active NPI
Lada Pharmacy
- Community/Retail Pharmacy
- Brooklyn, NY
National Provider Identifier
1023027653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 026640
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lena Goldenstein, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02570703 | Medicaid | NY |
Other names 1
- Empire Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Hempstead, NY
- NPI 1154653285
-
- Pharmacist
- Hempstead, NY
- NPI 1538491451
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.