Active NPI
Oceanside Pharmacy Inc.
- Durable Medical Equipment & Medical Supplies
- Brooklyn, NY
National Provider Identifier
1174895247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02602028 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.