Organization Active NPI

Utica Pharmacy, Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1053446377
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
025571 Issued in NY
Legal business name
UTICA PHARMACY, INC
Practice address
285-287 Utica Ave
Brooklyn, NY 11213-4940
Phone
(718) 953-7351
Fax
(718) 953-4968
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Authorized official

Name
Mr. Muzaffar Syed, RPH.
Title
SP
Phone
(718) 953-7351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 025571 NY Primary

Addresses

Primary practice location

285-287 Utica Ave
Brooklyn, NY 11213-4940

Mailing address

285-287 Utica Ave
Brooklyn, NY 11213-4940
Phone (718) 953-7351

Other identifiers 1

IdentifierTypeStateIssuer
02383484MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111121000999 NY DME Supplier - Pharmacy 8527232925 Practice locations: Brooklyn, NY
O20220113002447 NY Part B Supplier - Mass Immunization (Roster Biller Only) 8527232925 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
Utica Pharmacy Inc285-287 Utica Ave, Brooklyn, NY 11213(718) 953-7351 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Nov 21, 2011

National Provider Directory

National Provider Directory

Locations

285 Utica Ave
Brooklyn, NY 11213
Phone (718) 953-7351

Practitioners & affiliated clinicians

Practitioners 2

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": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1053446377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285-287 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134940",
            "telephone_number": "718-953-7351",
            "fax_number": "718-953-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285-287 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134940",
            "telephone_number": "718-953-7351",
            "fax_number": "718-953-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTICA PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "MUZAFFAR",
        "authorized_official_title_or_position": "SP",
        "authorized_official_telephone_number": "718-953-7351",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02383484",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 3, 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.