Organization Active NPI

Jost Pharmacy Inc

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1033106992
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
020118 Issued in NY
Legal business name
JOST PHARMACY INC
Practice address
3601 Quentin Rd
Brooklyn, NY 11234-4203
Phone
(718) 339-3110
Fax
(718) 339-5260
NPI assigned
Oct 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Mr. Rada Levkovskaya
Title
Vice President
Phone
(718) 339-3110

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 020118 NY Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

3601 Quentin Rd
Brooklyn, NY 11234-4203

Mailing address

3601 Quentin Rd
Brooklyn, NY 11234-4203
Phone (718) 339-3110

Other identifiers 1

IdentifierTypeStateIssuer
01137631MedicaidNY

Other names 1

  • This Way Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171127002816 NY DME Supplier - Pharmacy 3779840830 Practice locations: Brooklyn, NY
O20180426001211 NY Part B Supplier - Pharmacy 3779840830 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Jost Pharmacy Inc3601 Quentin Rd, Brooklyn, NY 11234-4248(718) 339-3110 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Apr 22, 2024

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1033106992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344203",
            "telephone_number": "718-339-3110",
            "fax_number": "718-339-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344203",
            "telephone_number": "718-339-3110",
            "fax_number": "718-339-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOST PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "LEVKOVSKAYA",
        "authorized_official_first_name": "RADA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "718-339-3110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "020118",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01137631",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "This Way Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "This Way 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 Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.