Hayatt Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

034342 Issued in NY

Legal business name

HAYATT PHARMACY CORP

Practice address

6920 5TH Ave
Brooklyn, NY 11209-1507

Phone

(347) 662-6119

Fax

(347) 517-4308

NPI assigned

Feb 11, 2016

Organization subpart

No

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

Authorized official

Name

Ronnie Joudeh, RPHNPI 1881074185

Title

Owner, Pic, Ao

Phone

(347) 662-6119

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Hayatt Pharmacy Corp Doing business as

Locations

Practitioners 1

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

• Ronnie Joudeh, PHARM D

  • Pharmacist
  • Brooklyn, NY
  • NPI 1881074185
  NPD (past) Authorized official

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1073972659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091507",
            "telephone_number": "347-662-6119",
            "fax_number": "347-517-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091507",
            "telephone_number": "347-662-6119",
            "fax_number": "347-517-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYATT PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "JOUDEH",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "OWNER, PIC, AO",
        "authorized_official_telephone_number": "347-662-6119",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158315",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hayatt Pharmacy Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rina Hay
• Mika Hayashi, DDS
• Amir Hayat, MD
• Noshin Hayat
• Ai Hayatsu, MPS
• Abby Jane Hayden, LMSW
• Hallie Hayden, LMSW
• Theresa Anne Hayden
• Zeeshan Hayder, M.D.
• Judy Haye, R.N

• 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 20, 2017; 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.