Organization Active NPI

Sky Pharmacy

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1164567061
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
026882 Issued in NY
Legal business name
SKY PHARMACY
Practice address
7114 Bay Pkwy
Brooklyn, NY 11204-6016
Phone
(718) 621-0204
Fax
(718) 621-1443
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Mr. David SazanNPI 1699098871
Title
Owner
Phone
(718) 621-0204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 026882 NY Primary

Addresses

Primary practice location

7114 Bay Pkwy
Brooklyn, NY 11204-6016

Mailing address

7114 Bay Pkwy
Brooklyn, NY 11204-6016
Phone (718) 621-0204

Other identifiers 1

IdentifierTypeStateIssuer
02614340MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930008930 NY DME Supplier - PharmacyDME Supplier - Orthotic Personnel 3274742309 Practice locations: Brooklyn, NY
O20211222001349 NY Part B Supplier - Mass Immunization (Roster Biller Only) 3274742309 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Sky Pharmacy7114 Bay Pkwy, Brooklyn, NY 11204-6016(718) 621-0204 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Oct 25, 2004

National Provider Directory

National Provider Directory

Locations

7114 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 621-0204

Practitioners & affiliated clinicians

Practitioners 2

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1164567061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7114 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046016",
            "telephone_number": "718-621-0204",
            "fax_number": "718-621-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7114 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046016",
            "telephone_number": "718-621-0204",
            "fax_number": "718-621-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "SAZAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-621-0204",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02614340",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.