Organization Active NPI

Boreum Drugs Corp

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1225088909
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
027749 Issued in NY
Legal business name
BOREUM DRUGS CORP
Practice address
194 Union Ave
Brooklyn, NY 11211-7412
Phone
(718) 387-8288
Fax
(718) 387-6788
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Authorized official

Name
Rick Tse, RPH
Title
Owner
Phone
(718) 501-2204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 027749 NY Primary

Addresses

Primary practice location

194 Union Ave
Brooklyn, NY 11211-7412

Mailing address

194 Union Ave
Brooklyn, NY 11211-7412
Phone (718) 387-8288

Other identifiers 2

IdentifierTypeStateIssuer
2067746OtherPK
2770794MedicaidNY

Other names 1

  • BOREUM DRUGS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930046427 NY DME Supplier - Pharmacy 0648472662 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
Boreum Drugs Corp194 Union Ave, Brooklyn, NY 11211-7412(718) 387-8288 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Orthoses: Off-The-Shelf Does not accept assignmentParticipating since Apr 15, 2006

National Provider Directory

National Provider Directory

Locations

194 Union Ave
Brooklyn, NY 11211
Phone (718) 387-8288

Practitioners & affiliated clinicians

Practitioners 2

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": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1225088909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 UNION AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117412",
            "telephone_number": "718-387-8288",
            "fax_number": "718-387-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 UNION AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117412",
            "telephone_number": "718-387-8288",
            "fax_number": "718-387-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOREUM DRUGS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "TSE",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-501-2204",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2067746",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2770794",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOREUM DRUGS",
            "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 Jan 29, 2016; 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.