Organization Active NPI

Sims Pharma Inc

Doing business as Sims Pharmacy

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1154759389
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
032522 Issued in NY
Legal business name
SIMS PHARMA INC
Doing business as
Sims Pharmacy
Practice address
1711 Pitkin Ave
Brooklyn, NY 11212-6601
Phone
(718) 346-7200
Fax
(718) 495-1321
NPI assigned
Oct 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Amit Patel, RPH
Title
President
Phone
(718) 346-7200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 032522 NY Primary

Addresses

Primary practice location

1711 Pitkin Ave
Brooklyn, NY 11212-6601

Mailing address

1711 Pitkin Ave
Brooklyn, NY 11212-6601
Phone (718) 346-7200

Other identifiers 2

IdentifierTypeStateIssuer
03747106MedicaidNY
2144864OtherPK

Other names 1

  • SIMS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140527000949 NY DME Supplier - Pharmacy 9133342884 Practice locations: Brooklyn, NY
O20220419000813 NY Part B Supplier - Pharmacy 9133342884 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Tax ID family
Sims Pharma Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1154759389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112126601",
            "telephone_number": "718-346-7200",
            "fax_number": "718-495-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112126601",
            "telephone_number": "718-346-7200",
            "fax_number": "718-495-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMS PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-25",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-346-7200",
        "authorized_official_credential": "RPH"
    },
    "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": "032522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03747106",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144864",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIMS 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 May 3, 2022; 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.