Organization Active NPI

Crown Heights Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1124119672
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CROWN HEIGHTS PHARMACY INC
Practice address
376 Kingston Ave
Brooklyn, NY 11213-4332
Phone
(718) 467-6700
Fax
(718) 467-2461
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Jeremy Lebovitch
Title
President
Phone
(718) 467-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

376 Kingston Ave
Brooklyn, NY 11213-4332

Mailing address

376 Kingston Ave
Brooklyn, NY 11213-4332
Phone (718) 467-6700

Other identifiers 1

IdentifierTypeStateIssuer
01175213MedicaidNY

Other names 1

  • Apple Drugs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930016263 NY DME Supplier - Pharmacy 7416169164 Practice locations: Brooklyn, NY
O20221129001750 NY Part B Supplier - Pharmacy 7416169164 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Tax ID family
Apple Drugs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

376 Kingston Ave
Brooklyn, NY 11213
Phone (718) 467-6700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1124119672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 KINGSTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134332",
            "telephone_number": "718-467-6700",
            "fax_number": "718-467-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 KINGSTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134332",
            "telephone_number": "718-467-6700",
            "fax_number": "718-467-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN HEIGHTS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "LEBOVITCH",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-467-6700"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01175213",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apple Drugs",
            "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 Feb 11, 2025; 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.

Verify at the official NPI Registry.