Popular Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

017823 Issued in NY

Legal business name

POPULAR PHARMACY INC

Practice address

350 E Main St Ste 8
Patchogue, NY 11772-3100

Phone

(631) 475-6666

Fax

(631) 768-9049

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Mukesh PatelNPI 1326198458

Title

President

Phone

(631) 475-6666

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BROOKHAVEN PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Mukesh S Patel, RPH

  • Pharmacist
  • Queens Village, NY
  • NPI 1326198458
  NPD Authorized official
• Ambalal K Patel, PHARMACIST

  • Pharmacist
  • Patchogue, NY
  • NPI 1184766701
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1083625644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 8 E MAIN ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-475-6666",
            "fax_number": "631-768-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E MAIN ST STE 8",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723100",
            "telephone_number": "631-475-6666",
            "fax_number": "631-768-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPULAR PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MUKESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-475-6666"
    },
    "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": "017823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00775993",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2061796",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROOKHAVEN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaron Pinzon, PA--C
• Donna Jean Pitkanen, RDH
• Emily Pollack
• Matthew Bruce Pollack, PHD
• Annette Pope-Morris, PA
• Jennifer Portal, FNP
• Positive Minds Therapy LCSW P.C.
• Michael John Post, PA-C
• Catherine Mary Powell
• Matthew Cronan Power, PT, DPT

• Community/Retail Pharmacy in Patchogue, NY
• Providers in Patchogue, 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 16, 2017; 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.