Active NPI
BGH RX Inc
Doing business as D/B/a Cypress Hills Pharmacy
- Community/Retail Pharmacy
- Brooklyn, NY
National Provider Identifier
1144507385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 030952
- Legal business name
- BGH RX INC
- Doing business as
- D/B/a Cypress Hills Pharmacy
- Practice address
- 1155 A Blake Ave
Brooklyn, NY 11208 - Phone
- (718) 964-1000
- NPI assigned
- Nov 15, 2011
- 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
- Mr. Balaji Duddukuru
- Title
- President
- Phone
- (718) 964-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 030952 | NY | Primary |
Addresses
Primary practice location
1155 A Blake Ave
Brooklyn, NY 11208
Mailing address
1155-A Blake Ave
Brooklyn, NY 11208
Phone (718) 964-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030952 | Other | NY | BOARD OF PHARMACY REGISTRATION |
Other names 1
- D/B/A CYPRESS HILLS PHARMACY
National Provider Directory
National Provider DirectoryLocations
1155 Blake Ave
#A
Brooklyn, NY 11208
Phone (718) 964-1000
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
- Travis AFB, CA
- NPI 1043349012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380067200000",
"number": "1144507385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155-A BLAKE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11208",
"telephone_number": "718-964-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 A BLAKE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11208",
"telephone_number": "718-964-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BGH RX INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-15",
"last_updated": "2013-09-25",
"status": "A",
"authorized_official_last_name": "DUDDUKURU",
"authorized_official_first_name": "BALAJI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-964-1000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "030952",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY REGISTRATION",
"identifier": "030952",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "D/B/A CYPRESS HILLS PHARMACY",
"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 Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.