Organization Active NPI

Bright Pharmacy & Medical Supply Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1083922322
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
030330 Issued in NY
Legal business name
BRIGHT PHARMACY & MEDICAL SUPPLY INC
Doing business as
Bright Pharmacy & Medical Supply Inc.
Practice address
227 Brighton Beach Ave
Brooklyn, NY 11235-7406
Phone
(718) 615-1550
Fax
(718) 676-1393
NPI assigned
Sep 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Roman GarberNPI 1972826154
Title
Supervising Pharmacist
Phone
(718) 615-1550

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
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 030330 NY Primary

Addresses

Primary practice location

227 Brighton Beach Ave
Brooklyn, NY 11235-7406

Mailing address

227 Brighton Beach Ave
Brooklyn, NY 11235
Phone (718) 615-1550

Other identifiers 2

IdentifierTypeStateIssuer
2127292OtherPK
3287574MedicaidNY

Other names 1

  • BRIGHT PHARMACY & MEDICAL SUPPLY INC. Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110118000278 NY DME Supplier - Pharmacy 8022207422 Practice locations: Brooklyn, NY
O20180105000221 NY Part B Supplier - Mass Immunization (Roster Biller Only) 8022207422 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

227 Brighton Beach Ave
#1
Brooklyn, NY 11235
Phone (718) 615-1550

227 Brighton Beach Ave
Brooklyn, NY 11235
Phone (718) 615-1550

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": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1083922322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 BRIGHTON BEACH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-615-1550",
            "fax_number": "718-676-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 BRIGHTON BEACH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357406",
            "telephone_number": "718-615-1550",
            "fax_number": "718-676-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT PHARMACY & MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "GARBER",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-615-1550"
    },
    "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": "030330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127292",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3287574",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHT PHARMACY & MEDICAL SUPPLY INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 19, 2025; 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.