Boardwalk RX Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029236 Issued in NY

Legal business name

BOARDWALK RX CORP

Doing business as

Boardwalk Rx Corp

Practice address

3100 Ocean Pkwy
Brooklyn, NY 11235-8439

Phone

(718) 996-7600

Fax

(718) 996-7601

NPI assigned

Nov 18, 2008

Organization subpart

No

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

Authorized official

Name

Stanislav DolinskyNPI 1275786329

Title

President

Phone

(718) 996-7600

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Boardwalk Rx Corp Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Practitioners 1

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

• Stanislav Dolinsky, PHARMD

  • Pharmacist
  • Brooklyn, NY
  • NPI 1275786329
  NPD Authorized official

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1093960056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358439",
            "telephone_number": "718-996-7600",
            "fax_number": "718-996-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358439",
            "telephone_number": "718-996-7600",
            "fax_number": "718-996-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARDWALK RX CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "DOLINSKY",
        "authorized_official_first_name": "STANISLAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-996-7600"
    },
    "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": "029236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118523",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03081656",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boardwalk Rx Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alma Renae Boalds
• Adwoa Boamah Boamah
• Georgina Boampong
• Henrietta Boampong
• Christina Mary Boardman, LMHC
• Asante Boateng, MD
• Claudia Kwatwuaa Boateng, LPN
• Doreen Amankwa Boateng
• Henry Boateng
• Vanessa Boateng

• 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 Dec 1, 2016; 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.