Ditmas Park Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

034582 Issued in NY

Legal business name

DITMAS PARK PHARMACY INC

Doing business as

Ditmas Park Pharmacy

Practice address

509 Ralph Ave
Brooklyn, NY 11233-4406

Phone

(718) 975-4989

Fax

(718) 975-4998

NPI assigned

May 16, 2016

Organization subpart

No

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

Authorized official

Name

Elwaleed IbrahimNPI 1831368315

Title

President

Phone

(718) 975-4989

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Ditmas Park Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elwaleed Mubarak Ibrahim, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1831368315
  NPD Authorized official
• Balvinder Minhas

  • Pharmacist
  • Brooklyn, NY
  • NPI 1437697497
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1134576630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11226",
            "telephone_number": "718-975-4989",
            "fax_number": "718-975-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112334406",
            "telephone_number": "718-975-4989",
            "fax_number": "718-975-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DITMAS PARK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "ELWALEED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-975-4989"
    },
    "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": "034582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04770696",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160208",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ditmas Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stuart Howard Ditchek, M.D.
• Ditmas Heights Gastroenterology PC
• Ditmas Park Adult Day Care LLC
• Ditmas Park Dental, PC
• Ditmas Park Dialysis Center LLC
• Ditmas Park Rehabilitation & Care Center LLC
• Ditmas Park Rehabilitation & Care Center LLC
• Ditmas Park Wellness PT PLLC
• Ditmas Pharmacy Corp
• Dinean Ann Ditolla, MS,CCC-SLP

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.