Active NPI
Ohana Pharmacy Inc
- Community/Retail Pharmacy
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 035858
- Legal business name
- OHANA PHARMACY INC
- Practice address
- 1690 86TH St
Brooklyn, NY 11214-2832 - Phone
- (718) 232-0900
- Fax
- (718) 232-0901
- NPI assigned
- Nov 17, 2017
- 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
- Tran Diep
- Title
- Owner/Pic/Ao
- Phone
- (215) 617-6392
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 035858 | NY | Primary |
Addresses
Primary practice location
1690 86TH St
Brooklyn, NY 11214-2832
Mailing address
1690 86TH Street
Brooklyn, NY 11214
Phone (718) 232-0900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2173926 | Other | PK |
Other names 1
- OHANA PHARMACY INC.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171204000553 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 3173880945 | Practice locations: Brooklyn, NY |
| O20210707000455 | NY | Part B Supplier - Pharmacy | 3173880945 | Practice locations: Brooklyn, NY |
| O20250520000586 | NY | DME Supplier - Pharmacy | 3173880945 | Practice locations: Brooklyn, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2329462 | Ohana Pharmacy Inc | Certificate of waiver | Mar 26, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Ohana Pharmacy Inc | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Man… | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
1690 86th St
Brooklyn, NY 11214
Phone (718) 232-0900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Philadelphia, PA
- NPI 1407254469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531958400000",
"number": "1124532833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1690 86TH STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11214",
"telephone_number": "718-232-0900",
"fax_number": "718-232-0901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 86TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112142832",
"telephone_number": "718-232-0900",
"fax_number": "718-232-0901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHANA PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-17",
"last_updated": "2018-07-19",
"status": "A",
"authorized_official_last_name": "DIEP",
"authorized_official_first_name": "TRAN",
"authorized_official_title_or_position": "OWNER/PIC/AO",
"authorized_official_telephone_number": "215-617-6392"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "035858",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2173926",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OHANA 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 19, 2018; 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.