Organization Active NPI

Oceanside Pharmacy Inc.

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1174895247
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OCEANSIDE PHARMACY INC.
Practice address
67 35TH St
2 Floor
Brooklyn, NY 11232-2018
Phone
(718) 265-4222
Fax
(715) 265-1700
NPI assigned
Feb 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Mr. Eric Vanier
Title
Manager
Phone
(718) 265-4222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NY Primary

Addresses

Primary practice location

67 35TH St
2 Floor
Brooklyn, NY 11232-2018

Mailing address

67 35TH St
2 Floor
Brooklyn, NY 11232-2018
Phone (718) 265-4222

Other identifiers 1

IdentifierTypeStateIssuer
02602028MedicaidNY

National Provider Directory

National Provider Directory

Locations

67 35th St
#2
Brooklyn, NY 11232
Phone (718) 265-4222

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1174895247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 35TH ST",
            "address_2": "2 FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322018",
            "telephone_number": "718-265-4222",
            "fax_number": "715-265-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 35TH ST",
            "address_2": "2 FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322018",
            "telephone_number": "718-265-4222",
            "fax_number": "715-265-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "VANIER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-265-4222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02602028",
            "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 Feb 3, 2012; 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.