Active NPI
Ekmel Gencer, RPH
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1114067758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044758
- Practice address
- 5721 5TH Ave
Brooklyn, NY 11220-3853 - Phone
- (718) 439-3500
- Fax
- (718) 439-5207
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 044758 | NY | Primary |
Addresses
Primary practice location
5721 5TH Ave
Brooklyn, NY 11220-3853
Mailing address
79 Hurd St
Mine Hill, NJ 07803
Phone (973) 537-0347
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01242039 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044758 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medina Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1194864793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114067758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 HURD ST",
"city": "MINE HILL",
"state": "NJ",
"postal_code": "07803",
"telephone_number": "973-537-0347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5721 5TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203853",
"telephone_number": "718-439-3500",
"fax_number": "718-439-5207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENCER",
"first_name": "EKMEL",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "044758",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01242039",
"state": "NY"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.