Active NPI
Brittany Pharmacy Corp.
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1114915774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 025310
- Legal business name
- BRITTANY PHARMACY CORP.
- Doing business as
- L&A PHARMACY
- Practice address
- 395 Avenue X
Brooklyn, NY 11223-6004 - Phone
- (718) 339-3131
- Fax
- (718) 339-9232
- NPI assigned
- Oct 7, 2005
- 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
- Mrs. Luba Balyasny, RPH
- Title
- Pharmacist/Owner
- Phone
- (718) 339-3131
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 025310 | NY | Primary |
| Nutrition Support Pharmacist | 1835N1003X | 025310 | NY | |
| Pharmacotherapy Pharmacist | 1835P1200X | 025310 | NY |
Addresses
Primary practice location
395 Avenue X
Brooklyn, NY 11223-6004
Mailing address
395 Avenue X
Brooklyn, NY 11223-6004
Phone (718) 339-3131
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025310 | Other | NM | PHARMACY LICENSE NUMBER |
| 3326231 | Other | NY | NCPDP NUMBER |
| 02269836 | Medicaid | NM | |
| J4T | Other | NY | ETIN NUMBER |
Other names 1
- L&A PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1114915774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 AVENUE X",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112236004",
"telephone_number": "718-339-3131",
"fax_number": "718-339-9232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 AVENUE X",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112236004",
"telephone_number": "718-339-3131",
"fax_number": "718-339-9232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRITTANY PHARMACY CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-07",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "BALYASNY",
"authorized_official_first_name": "LUBA",
"authorized_official_title_or_position": "PHARMACIST/OWNER",
"authorized_official_telephone_number": "718-339-3131",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NY",
"license": "025310",
"primary": true
},
{
"code": "1835N1003X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Nutrition Support",
"state": "NY",
"license": "025310",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NY",
"license": "025310",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE NUMBER",
"identifier": "025310",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP NUMBER",
"identifier": "3326231",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02269836",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ETIN NUMBER",
"identifier": "J4T",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "L&A 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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.