Organization Active NPI

Chemplus Pharmacy Corp

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1205352002
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
035700 Issued in NY
Legal business name
CHEMPLUS PHARMACY CORP
Practice address
2606 Church Ave
Brooklyn, NY 11226-4152
Phone
(718) 282-5504
Fax
(718) 282-5505
NPI assigned
Aug 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Abimbola AyorindeNPI 1417356718
Title
Supervising Pharmacist
Phone
(718) 282-5504

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
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 035700 NY Primary

Addresses

Primary practice location

2606 Church Ave
Brooklyn, NY 11226-4152

Mailing address

648 Schroeders Ave
Brooklyn, NY 11239-2234
Phone (718) 282-5504

Other identifiers 2

IdentifierTypeStateIssuer
05082724MedicaidNY
2171129OtherPK

Other names 1

  • Chemplus 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
O20180109000330 NY DME Supplier - Pharmacy 7719278118 Practice locations: Brooklyn, NY
O20220614000149 NY Part B Supplier - Pharmacy 7719278118 Practice locations: Brooklyn, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Chemplus Pharmacy Corp2606 Church Ave, Brooklyn, NY 11226-4152(718) 282-5504 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jun 1, 2022

National Provider Directory

National Provider Directory

Locations

2606 Church Ave
Brooklyn, NY 11226
Phone (718) 282-5504

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": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1205352002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 SCHROEDERS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112392234",
            "telephone_number": "718-282-5504",
            "fax_number": "718-282-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264152",
            "telephone_number": "718-282-5504",
            "fax_number": "718-282-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEMPLUS PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "AYORINDE",
        "authorized_official_first_name": "ABIMBOLA",
        "authorized_official_title_or_position": "SUPERVISING  PHARMACIST",
        "authorized_official_telephone_number": "718-282-5504"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05082724",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2171129",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chemplus 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 Jul 19, 2018; 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.