Organization Active NPI

S Bros Inc

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1104803451
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
S BROS INC
Practice address
176 Lee Ave
Brooklyn, NY 11211-8048
Phone
(718) 855-3070
Fax
(718) 596-4657
NPI assigned
Dec 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Authorized official

Name
Mr. Gerald Gold, RPH
Title
President RPH
Phone
(718) 855-3070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

176 Lee Ave
Brooklyn, NY 11211-8048

Mailing address

176 Lee Ave
Brooklyn, NY 11211-8048
Phone (718) 855-3070

Other identifiers 3

IdentifierTypeStateIssuer
00263410MedicaidNY
3326673OtherNYNCPOP (NABP)
4402730001MedicaidNY

Other names 1

  • S Bros Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1104803451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 LEE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112118048",
            "telephone_number": "718-855-3070",
            "fax_number": "718-596-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 LEE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112118048",
            "telephone_number": "718-855-3070",
            "fax_number": "718-596-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S BROS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT RPH",
        "authorized_official_telephone_number": "718-855-3070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00263410",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPOP (NABP)",
            "identifier": "3326673",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4402730001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S Bros Pharmacy",
            "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 Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.