47TH Street Enterprise LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

032141 Issued in NY

Legal business name

47TH STREET ENTERPRISE LLC

Doing business as

Expressway Pharmacy

Practice address

4620 3Rd Ave
Brooklyn, NY 11220-1034

Phone

(718) 439-1570

Fax

(718) 439-1567

NPI assigned

Mar 26, 2018

Organization subpart

No

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

Authorized official

Name

Hassan MuyirNPI 1144553090

Title

Owner/Pharmacist

Phone

(718) 439-1570

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Expressway Pharmacy Doing business as

Locations

Practitioners 1

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.

• Hassan Muyir, PHARM. D.

  • Pharmacist
  • Brooklyn, NY
  • NPI 1144553090
  Authorized official Same address or phone

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1184129892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201034",
            "telephone_number": "718-439-1570",
            "fax_number": "718-439-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201034",
            "telephone_number": "718-439-1570",
            "fax_number": "718-439-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "47TH STREET ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "MUYIR",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "718-439-1570"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NY",
            "license": "032141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03892660",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176597",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Expressway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 405 86TH Pharmacy Inc (Globe Drug & Surgical)
• 424 Neighborhood Pharmacy Inc
• 44 Court Street Dentists PLLC
• 4501 Nyc Optical LLC
• 464 Bay Ridge Medical PLLC
• 47TH Street Enterprise, LLC
• 482 Nyc Optical LLC
• 4N Medical Care PC
• 4TH Ave Pharmacy Inc. (4TH Avenue Pharmacy)
• 4TH Avenue Dental

• Compounding Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Compounding Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.