Active NPI
Moishe'S Pharmacy Corp
- Community/Retail Pharmacy
- Brooklyn, NY
National Provider Identifier
1174092951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MOISHE'S PHARMACY CORP
- Practice address
- 4508 13TH Ave
Brooklyn, NY 11219-2018 - Phone
- (917) 971-6453
- Fax
- (718) 686-9998
- NPI assigned
- Nov 21, 2018
- 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
- Michael Zhang, PHARMD
- Title
- Pharmacist
- Phone
- (803) 406-5362
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
4508 13TH Ave
Brooklyn, NY 11219-2018
Mailing address
4508 13TH Ave
Brooklyn, NY 11219-2018
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06075089 | Medicaid | NY | |
| 8245306031 | Other | NY | PHARMACY |
Other names 1
- MOISHE'S PHARMACY CORP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221024000566 | NY | Part B Supplier - Pharmacy | 7113352832 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider DirectoryLocations
4508 13th Ave
Brooklyn, NY 11219
Phone (718) 686-9999
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Brooklyn, NY
- NPI 1518475409
-
- Pharmacist
- Massapequa PK, NE
- NPI 1841475720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756166400000",
"number": "1174092951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4508 13TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4508 13TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192018",
"telephone_number": "917-971-6453",
"fax_number": "718-686-9998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOISHE'S PHARMACY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-21",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A",
"authorized_official_last_name": "ZHANG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "803-406-5362",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06075089",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY",
"identifier": "8245306031",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MOISHE'S PHARMACY CORP",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Aug 26, 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.