Phamco Drugs Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030770 Issued in NY

Legal business name

PHAMCO DRUGS INC.

Practice address

802 Nostrand Ave
Brooklyn, NY 11216-4204

Phone

(718) 604-2585

Fax

(718) 604-2587

NPI assigned

Jul 14, 2011

Organization subpart

No

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

Authorized official

Name

Ani Chinwendu

Title

Supervising Pharmacist

Phone

(718) 604-2585

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PHAMCO DRUGS Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Jae Woo Jeon, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1144406281
  NPD (past)

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1124316815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164204",
            "telephone_number": "718-604-2585",
            "fax_number": "718-604-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164204",
            "telephone_number": "718-604-2585",
            "fax_number": "718-604-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAMCO DRUGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "CHINWENDU",
        "authorized_official_first_name": "ANI",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-604-2585"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03359753",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHAMCO DRUGS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHAMCO DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martha Thi Pham, PSY.D
• Nguyen Hai Nam Pham
• Sarah Anne Pham
• Thailan Pham, LCSW
• Thu Pham, RN
• Catherine Phan, DMD
• Dustin Kha Phan, MA
• Patricia Tram Phan, MD
• Sarah Phan, DNP, CPNP-PC
• Vien Thi Xuan Phan, MD

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.