Millbrook Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031847 Issued in NY

Legal business name

MILLBROOK PHARMACY LLC

Doing business as

Millbrook Pharmacy

Practice address

3272 Franklin Ave
Millbrook, NY 12545-5975

Phone

(845) 677-3131

Fax

(845) 677-3111

NPI assigned

Mar 28, 2013

Organization subpart

No

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

Authorized official

Name

Noor Fatima Amjad

Title

Owner

Phone

(845) 677-3131

Specialties & licenses 2

Addresses

Other names 1

• Millbrook Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Millbrook Pharmacy2 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.

• Millbrook Pharmacy LLC

  • Long Term Care Pharmacy
  • Millbrook, NY
  • NPI 1588512529
  NPD tax ID

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1063755098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3272 FRANKLIN AVE",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "125455975",
            "telephone_number": "845-677-3131",
            "fax_number": "845-677-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 FRANKLIN AVE",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "125455975",
            "telephone_number": "845-677-3131",
            "fax_number": "845-677-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLBROOK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "AMJAD",
        "authorized_official_first_name": "NOOR",
        "authorized_official_middle_name": "FATIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-677-3131"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millbrook Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Millbrook Central School District
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• Millbrook Family Eyecare, Inc
• Millbrook Medical Practice PC
• Millbrook Pharmacy LLC
• Millbrook Physical Therapy PC
• Karen Ann Millman, R.N.
• Colleen M Mitchell, OTA
• Monte Marder MD PC

• Community/Retail Pharmacy in Millbrook, NY
• Providers in Millbrook, 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 Sep 25, 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.