Individual provider Active NPI

Alice Belenky

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1124509732
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
070179 Issued in NY
Practice address
904 Avenue U
Brooklyn, NY 11223-4162
Phone
(929) 568-6633
NPI assigned
Aug 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 070179 NY Primary

Addresses

Primary practice location

904 Avenue U
Brooklyn, NY 11223-4162

Mailing address

2057 Ford St
Brooklyn, NY 11229-4023
Phone (516) 302-6087

Other identifiers 1

IdentifierTypeStateIssuer
070179OtherNYNYS DEPT OF EDUCATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
070179NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Specialty Pharmacy LLC CurrentSince Sep 17, 2023 Accepting new patients
Mega Aid Pharmacy II, Inc. PastSince Aug 30, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1124509732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 FORD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294023",
            "telephone_number": "516-302-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234162",
            "telephone_number": "929-568-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELENKY",
        "first_name": "ALICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2023-09-11",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "070179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DEPT OF EDUCATION",
            "identifier": "070179",
            "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 Sep 11, 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.

Verify at the official NPI Registry.