Active NPI
Green Briar RX Inc
- Community/Retail Pharmacy
- Briarwood, NY
National Provider Identifier
1124759907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- GREEN BRIAR RX INC
- Practice address
- 85-15 Main Street
Comm. Store 7
Briarwood, NY 11435 - Phone
- (718) 480-6185
- Fax
- (718) 480-6190
- NPI assigned
- Jun 22, 2022
- 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
- Nujrahat Nujrahat
- Title
- President
- Phone
- (718) 480-6185
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
85-15 Main Street
Comm. Store 7
Briarwood, NY 11435
Mailing address
85-15 Main Street
Comm. Store 7
Briarwood, NY 11435
Phone (718) 480-6185
Other names 1
- BRIARWOOD RX
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220920001777 | NY | DME Supplier - Pharmacy | 6608251194 | Practice locations: Briarwood, NY |
| O20221018002114 | NY | Part B Supplier - Pharmacy | 6608251194 | Practice locations: Briarwood, NY |
| O20240213002820 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 6608251194 | Practice locations: Briarwood, NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764547200000",
"number": "1124759907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85-15 MAIN STREET",
"address_2": "COMM. STORE 7",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "11435",
"telephone_number": "718-480-6185",
"fax_number": "718-480-6190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85-15 MAIN STREET",
"address_2": "COMM. STORE 7",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "11435",
"telephone_number": "718-480-6185",
"fax_number": "718-480-6190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN BRIAR RX INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-22",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A",
"authorized_official_last_name": "NUJRAHAT",
"authorized_official_first_name": "NUJRAHAT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-480-6185"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BRIARWOOD RX",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Briarwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.