Organization Active NPI

Family Pharmacy & Surgical Supplies Inc.

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1073624169
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
023388 Issued in NY
Legal business name
FAMILY PHARMACY & SURGICAL SUPPLIES INC.
Practice address
1757 Bath Ave
Brooklyn, NY 11214-4517
Phone
(718) 331-8877
Fax
(718) 234-6996
NPI assigned
Aug 31, 2006
Last updated
Feb 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Grammatikos George Lambrakis, R.PH.NPI 1306160650
Title
Supervising Pharmacist
Phone
(718) 331-8877

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 023388 NY
Community/Retail Pharmacy 3336C0003X 023388 NY Primary

Addresses

Primary practice location

1757 Bath Ave
Brooklyn, NY 11214-4517

Mailing address

1757 Bath Ave
Brooklyn, NY 11214-4517
Phone (718) 331-8877

Other identifiers 1

IdentifierTypeStateIssuer
01787379MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220406001271 NY Part B Supplier - Mass Immunization (Roster Biller Only) 3476674573 Practice locations: Brooklyn, NY
O20220715001677 NY Part B Supplier - Pharmacy 3476674573 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1757 Bath Ave
Brooklyn, NY 11214
Phone (718) 331-8877

Practitioners & affiliated clinicians

Practitioners 2

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1073624169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 BATH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144517",
            "telephone_number": "718-331-8877",
            "fax_number": "718-234-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 BATH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144517",
            "telephone_number": "718-331-8877",
            "fax_number": "718-234-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHARMACY & SURGICAL SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "LAMBRAKIS",
        "authorized_official_first_name": "GRAMMATIKOS",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-331-8877",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "023388",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "023388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01787379",
            "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 Feb 5, 2008; 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.