Organization Active NPI

Key Care Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1124528500
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KEY CARE PHARMACY INC
Practice address
3411 Church Ave
Brooklyn, NY 11203-2713
Phone
(718) 693-1957
Fax
(718) 693-0150
NPI assigned
Feb 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Joseline Poulard
Title
President
Phone
(718) 693-1957

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 035960 NY
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3411 Church Ave
Brooklyn, NY 11203-2713

Mailing address

3411 Church Ave
Brooklyn, NY 11203-2713
Phone (718) 693-1957

Other identifiers 2

IdentifierTypeStateIssuer
05518254MedicaidNY
2175895OtherPK

Other names 1

  • Key Care Pharmacy Inc Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250317002083 NY Part B Supplier - Pharmacy 6901158211 Practice locations: Brooklyn, NY
O20250618001606 NY DME Supplier - Pharmacy 6901158211 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Key Care Pharmacy Inc3411 Church Ave, Brooklyn, NY 11203-2713(718) 693-1957 Nebulizer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Sep 19, 2018

National Provider Directory

National Provider Directory

Locations

3411 Church Ave
Brooklyn, NY 11203
Phone (718) 693-1957

Practitioners & affiliated clinicians

Practitioners 2

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": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1124528500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032713",
            "telephone_number": "718-693-1957",
            "fax_number": "718-693-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032713",
            "telephone_number": "718-693-1957",
            "fax_number": "718-693-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "POULARD",
        "authorized_official_first_name": "JOSELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-693-1957"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "035960",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05518254",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175895",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Key Care Pharmacy Inc",
            "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 Jul 23, 2025; 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.