Organization Active NPI

East 16TH Street Pharmacy, Inc

Doing business as Greenfield Pharmacy

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1033257498
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
016318 Issued in NY
Legal business name
EAST 16TH STREET PHARMACY, INC
Doing business as
Greenfield Pharmacy
Practice address
1526 Cortelyou Rd
Brooklyn, NY 11226-5608
Phone
(718) 282-7660
Fax
(718) 282-5152
NPI assigned
Feb 1, 2007
Last updated
Oct 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Dr. Aktar Ahmed, PHARMD.NPI 1396320156
Title
President
Phone
(718) 282-7660

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 016318 NY Primary

Addresses

Primary practice location

1526 Cortelyou Rd
Brooklyn, NY 11226-5608

Mailing address

1526 Cortelyou Rd
Brooklyn, NY 11226-5608
Phone (718) 282-7660

Other identifiers 2

IdentifierTypeStateIssuer
3325998OtherNYNCPDP
01018482MedicaidNY

Other names 1

  • GREENFIELD 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
O20150902001773 NY Part B Supplier - Pharmacy 3173640976 Practice locations: Brooklyn, NY
O20210129000089 NY Part B Supplier - Mass Immunization (Roster Biller Only) 3173640976 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1526 Cortelyou Rd
Brooklyn, NY 11226
Phone (718) 282-7660

Practitioners & affiliated clinicians

Practitioners 4

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1033257498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 CORTELYOU RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265608",
            "telephone_number": "718-282-7660",
            "fax_number": "718-282-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 CORTELYOU RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265608",
            "telephone_number": "718-282-7660",
            "fax_number": "718-282-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST 16TH STREET PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "AKTAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-282-7660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "016318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3325998",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01018482",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENFIELD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GREENFIELD 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 Oct 11, 2023; 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.