Be Well Pharmacy Corp.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

026922 Issued in NY

Legal business name

BE WELL PHARMACY CORP.

Practice address

8012 20TH Ave
Brooklyn, NY 11214-1809

Phone

(718) 232-2320

Fax

(718) 232-2250

NPI assigned

Aug 31, 2006

Last updated

Nov 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Agres, R.PH, PHARM.DNPI 1619291309

Title

Supervisor

Phone

(718) 232-2320

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Be Well Pharmacy Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Be Well Pharmacy Corp.

  dba Be Well Pharmacy LTC

  • Long Term Care Pharmacy
  • Brooklyn, NY
  • NPI 1063235182
  NPD tax ID

Locations

Practitioners 3

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.

• Mark Agres, PHARM.D

  • Pharmacist
  • Staten Island, NY
  • NPI 1619291309
  NPD Authorized official
• Ninel Mogilevich, BS. PHARMACY

  • Pharmacist
  • Brooklyn, NY
  • NPI 1568617629
  NPD (past)
• Aleksandr Sher, PHARM.D.

  • Pharmacist
  • Brooklyn, NY
  • NPI 1598153678
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731110400000",
    "number": "1053423780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8012 20TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141809",
            "telephone_number": "718-232-2320",
            "fax_number": "718-232-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8012 20TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141809",
            "telephone_number": "718-232-2320",
            "fax_number": "718-232-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE WELL PHARMACY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A",
        "authorized_official_last_name": "AGRES",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "718-232-2320",
        "authorized_official_credential": "R.PH, PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02618362",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "3340837",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Be Agape LLC
• Be Healthy Medical PC
• Be the Change Occupational Therapy PC
• Be Well Medical Alert Inc
• Be Well Medical Supply Inc
• Be Well Pharmacy Corp. (Be Well Pharmacy LTC)
• Be Well Primary Health Care Center, LLC
• Vivian Jolley Bea, M.D.
• Aurella Kahailia Beach-Leathers
• Kristine Beach

• 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 Nov 9, 2024; 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.