Organization Active NPI

Be Well Pharmacy Corp.

Doing business as Be Well Pharmacy LTC

  • Long Term Care Pharmacy
  • Brooklyn, NY
National Provider Identifier
1063235182
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BE WELL PHARMACY CORP.
Doing business as
Be Well Pharmacy LTC
Practice address
8012 20TH Ave
Brooklyn, NY 11214-1809
Phone
(718) 232-2320
Fax
(718) 232-2250
NPI assigned
Nov 6, 2024
Last updated
Nov 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

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

Authorized official

Name
Dr. Mark Agres, PHARD.DNPI 1619291309
Title
Pic
Phone
(718) 232-2320

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
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

8012 20TH Ave
Brooklyn, NY 11214-1809

Mailing address

8012 20TH Ave
Brooklyn, NY 11214-1809
Phone (718) 232-2320

Other names 1

  • BE WELL PHARMACY LTC Doing business as

National Provider Directory

National Provider Directory
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.

Locations

8012 20th Ave
Brooklyn, NY 11214
Phone (718) 232-2320

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731110400000",
    "number": "1063235182",
    "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": "2024-11-06",
        "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": "PIC",
        "authorized_official_telephone_number": "718-232-2320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARD.D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BE WELL PHARMACY LTC",
            "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 Nov 9, 2024; 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.