Organization Active NPI

Ohana Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1124532833
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
035858 Issued in NY
Legal business name
OHANA PHARMACY INC
Doing business as
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
Last updated
Jul 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Tran DiepNPI 1407254469
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)CodeLicenseStatePrimary
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 names 1

  • OHANA PHARMACY INC. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

National Provider Directory
Tax ID family
Ohana Pharmacy Inc2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": [],
    "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.