Organization Active NPI

Atlantic Heights Pharmacy Inc

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1114068590
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
018837 Issued in NY
Legal business name
ATLANTIC HEIGHTS PHARMACY INC
Practice address
349 Henry St
Brooklyn, NY 11201-5551
Phone
(718) 780-1671
Fax
(718) 780-2788
NPI assigned
Feb 9, 2007
Last updated
Oct 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Ms. May K NG, RPH
Title
Supervising Pharmacist
Phone
(718) 780-1671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 018837 NY Primary

Addresses

Primary practice location

349 Henry St
Brooklyn, NY 11201-5551

Mailing address

349 Henry St
Brooklyn, NY 11201-5551
Phone (718) 780-1671

Other identifiers 1

IdentifierTypeStateIssuer
01819763MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1114068590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 HENRY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015551",
            "telephone_number": "718-780-1671",
            "fax_number": "718-780-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 HENRY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015551",
            "telephone_number": "718-780-1671",
            "fax_number": "718-780-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC HEIGHTS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "MAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-780-1671",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "018837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01819763",
            "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 Oct 25, 2010; 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.