Active NPI
Park Chemists 4 Av LLC
Doing business as Park Chemists
- Pharmacy
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- PARK CHEMISTS 4 AV LLC
- Doing business as
- Park Chemists
- Practice address
- 500 4TH Ave
Brooklyn, NY 11215-4881 - Phone
- (718) 567-4555
- NPI assigned
- Apr 17, 2018
- Last updated
- Apr 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gary Valevich, PHARMD
- Title
- Owner
- Phone
- (917) 881-2970
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | Primary |
Addresses
Primary practice location
500 4TH Ave
Brooklyn, NY 11215-4881
Mailing address
500 4TH Ave
Brooklyn, NY 11215-4881
Phone (718) 567-4555
Other names 1
- Park Chemists
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190802002427 | NY | DME Supplier - Pharmacy | 1355678079 | Practice locations: Brooklyn, NY |
| O20210121000835 | NY | Part B Supplier - Pharmacy | 1355678079 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Park Chemists
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Commack, NY
- NPI 1134409865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618185600000",
"number": "1114414083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 4TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154881",
"telephone_number": "718-567-4555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 4TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154881",
"telephone_number": "718-567-4555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK CHEMISTS 4 AV LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-17",
"last_updated": "2021-04-12",
"certification_date": "2021-04-12",
"status": "A",
"authorized_official_last_name": "VALEVICH",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-881-2970",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Park Chemists",
"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 Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.