Organization Active NPI

Good Luck Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1184784811
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
024829 Issued in NY
Legal business name
GOOD LUCK PHARMACY, INC.
Doing business as
DUMONT PHARMACY
Practice address
364 Junius St
Brooklyn, NY 11212-7306
Phone
(718) 485-4012
Fax
(718) 485-5012
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Munir IslamNPI 1205168002
Title
President
Phone
(718) 485-4012

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 3990600001 NY
Community/Retail Pharmacy 3336C0003X 024829 NY Primary

Addresses

Primary practice location

364 Junius St
Brooklyn, NY 11212-7306

Mailing address

364 Junius St
Brooklyn, NY 11212-7306
Phone (718) 485-4012

Other identifiers 3

IdentifierTypeStateIssuer
3318260OtherNYNABP NUMBER-PHARMACY
02094228MedicaidNY
024829OtherNYREGISTRATION NUMBER

Other names 1

  • DUMONT 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
O20100930003248 NY DME Supplier - Pharmacy 6901917301 Practice locations: Brooklyn, NY
O20250415000470 NY Part B Supplier - Pharmacy 6901917301 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
Good Luck Pharmacy Inc364 Junius St, Brooklyn, NY 11212-7306(718) 485-4012 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Jan 1, 2002

National Provider Directory

National Provider Directory

Locations

364 Junius St
Brooklyn, NY 11212
Phone (718) 385-1230

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1184784811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 JUNIUS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112127306",
            "telephone_number": "718-485-4012",
            "fax_number": "718-485-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 JUNIUS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112127306",
            "telephone_number": "718-485-4012",
            "fax_number": "718-485-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LUCK PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2023-03-07",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "ISLAM",
        "authorized_official_first_name": "MUNIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-485-4012",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "3990600001",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "024829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER-PHARMACY",
            "identifier": "3318260",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02094228",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRATION NUMBER",
            "identifier": "024829",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DUMONT 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 Mar 7, 2023; 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.