Organization Active NPI

Family Pharmacy Group Inc.

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1083303465
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FAMILY PHARMACY GROUP INC.
Practice address
2108 Avenue X
Brooklyn, NY 11235-2911
Phone
(718) 814-7844
Fax
(718) 814-7845
NPI assigned
May 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Authorized official

Name
Bernard Alan GoykhbergNPI 1255499000
Title
President
Phone
(718) 814-7844

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2108 Avenue X
Brooklyn, NY 11235-2911

Mailing address

2108 Avenue X
Brooklyn, NY 11235-2911
Phone (718) 814-7844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20230811002486 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1254793953 Practice locations: Brooklyn, NY
O20231220000669 NY DME Supplier - Pharmacy 1254793953 Practice locations: Brooklyn, NY
O20260611001847 NY Part B Supplier - Pharmacy 1254793953 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Family Pharmacy Group Inc2108 Avenue X, Brooklyn, NY 11235-2911(718) 814-7844 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jun 27, 2023

National Provider Directory

National Provider Directory

Locations

2108 Avenue X
Brooklyn, NY 11235
Phone (718) 814-7844

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1083303465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352911",
            "telephone_number": "718-814-7844",
            "fax_number": "718-814-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352911",
            "telephone_number": "718-814-7844",
            "fax_number": "718-814-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHARMACY GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "GOYKHBERG",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-814-7844"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 11, 2023; 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.