Organization Active NPI

Simply Care Pharmacy Corp

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1104512458
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SIMPLY CARE PHARMACY CORP
Practice address
1222 Avenue U
Brooklyn, NY 11229-4107
Phone
(716) 666-2554
Fax
(718) 336-2029
NPI assigned
Apr 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Jimmy Lu
Title
Owner
Phone
(347) 495-7349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1222 Avenue U
Brooklyn, NY 11229-4107

Mailing address

1222 Avenue U
Brooklyn, NY 11229-4107
Phone (716) 666-2554

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230815001924 NY Part B Supplier - Pharmacy 0941662480 Practice locations: Brooklyn, NY
O20240426001822 NY DME Supplier - Pharmacy 0941662480 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
Simply Care Pharmacy Corp1222 Avenue U, Brooklyn, NY 11229-4107(716) 666-2554 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since May 17, 2023

National Provider Directory

National Provider Directory

Locations

1222 Avenue U
Brooklyn, NY 11229
Phone (716) 666-2554

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1104512458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294107",
            "telephone_number": "716-666-2554",
            "fax_number": "718-336-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294107",
            "telephone_number": "716-666-2554",
            "fax_number": "718-336-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY CARE PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-495-7349"
    },
    "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 Sep 2, 2026; 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.