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
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

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 identifiers 1

IdentifierTypeStateIssuer
2173926OtherPK

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

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2329462Ohana Pharmacy Inc1690 86TH St, Brooklyn, NY 11214Certificate of waiverMar 26, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ohana Pharmacy Inc1690 86TH St, Brooklyn, NY 11214-283271823209001 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 assignmentParticipating since Nov 20, 2017

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.