Organization Active NPI

Nile Pharma Corp

Doing business as Nile Care Pharmacy

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1174363956
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NILE PHARMA CORP
Doing business as
Nile Care Pharmacy
Practice address
518 86TH St
Brooklyn, NY 11209-5253
Phone
(718) 333-5414
Fax
(718) 333-5215
NPI assigned
May 29, 2024
Last updated
Sep 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Rana DardierNPI 1932797834
Title
Owner
Phone
(929) 339-5009

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 NU Primary

Addresses

Primary practice location

518 86TH St
Brooklyn, NY 11209-5253

Mailing address

730 Norman PL
Westfield, NJ 07090-3440
Phone (929) 339-5009

Other names 1

  • Nile Care 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
O20241219000077 NY Part B Supplier - Pharmacy 4789111477 Practice locations: Brooklyn, NY
O20250506003072 NY DME Supplier - Pharmacy 4789111477 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
Nile Care Pharmacy518 86TH St, Brooklyn, NY 11209-5253(718) 333-5414 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Nov 9, 2024

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1174363956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 NORMAN PL",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070903440",
            "telephone_number": "929-339-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095253",
            "telephone_number": "718-333-5414",
            "fax_number": "718-333-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILE PHARMA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "DARDIER",
        "authorized_official_first_name": "RANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-339-5009"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nile Care 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 23, 2024; 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.