Fulton St Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FULTON ST PHARMACY INC

Practice address

702 Fulton St
Brooklyn, NY 11217-2613

Phone

(718) 834-6368

Fax

(718) 330-2503

NPI assigned

May 16, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Snehal Shah

Title

President

Phone

(718) 834-6368

Specialties & licenses 1

Addresses

Other names 1

• Greene Community Pharmacy Doing business as

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1043876857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172613",
            "telephone_number": "718-834-6368",
            "fax_number": "718-330-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172613",
            "telephone_number": "718-834-6368",
            "fax_number": "718-330-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON ST PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SNEHAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-834-6368",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greene Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fulton Mall Pharmacy Inc
• Fulton Medical Group PC
• Fulton Medical Plaza, P.C.
• Fulton Pharmacy Inc
• Fulton RX Inc.
• Fulton Vision Center LLC
• Fulton Vision Center, Inc.
• Fulton Vision Express, LLC
• Fultonpure Inc
• Elizabeth Fumia, LCSW

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.