Sr and Ag Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SR AND AG CORP

Practice address

250 Kings Hwy
Brooklyn, NY 11223-1205

Phone

(718) 946-6899

Fax

(718) 946-2743

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Svetlana Goldenberg, RPHNPI 1487983821

Title

President

Phone

(718) 946-6899

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• kingsway pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Svetlana Goldenberg

  • Pharmacist
  • Brooklyn, NY
  • NPI 1487983821
  NPD (past) Authorized official

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1063577674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231205",
            "telephone_number": "718-946-6899",
            "fax_number": "718-946-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231205",
            "telephone_number": "718-946-6899",
            "fax_number": "718-946-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SR AND AG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "GOLDENBERG",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-946-6899",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01347575",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "kingsway pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "kingsway pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mina Sputz
• Square Pharmacy Inc.
• Gina Squicciarini
• Destiny Marie Simone Squires
• Sr 350 Medical PC
• Sr LCSW Services P.C.
• Binoyananda Sraman, CASAC-T
• Joshua M Srebnick, PH.D.
• Brocha Rena Srebro
• Chana L Srebro

• 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 Feb 21, 2019; 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.