Organization Active NPI

BGH RX Inc

Doing business as D/B/a Cypress Hills Pharmacy

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1144507385
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
030952 Issued in NY
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

Updated by the provider on Sep 25, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
030952OtherNYBOARD OF PHARMACY REGISTRATION

Other names 1

  • D/B/A CYPRESS HILLS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.