Organization Active NPI

Nextgen Pharmacy Corp.

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1245407667
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
028891 Issued in NY
Legal business name
NEXTGEN PHARMACY CORP.
Practice address
2483 86TH St
Brooklyn, NY 11214-4448
Phone
(718) 676-9191
Fax
(718) 676-9193
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Diana GroysmanNPI 1841471349
Title
President
Phone
(917) 554-3041

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 028891 NY Primary

Addresses

Primary practice location

2483 86TH St
Brooklyn, NY 11214-4448

Mailing address

2483 86TH St
Brooklyn, NY 11214-4448
Phone (718) 676-9191

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251112001973 NY Part B Supplier - Mass Immunization (Roster Biller Only) 0143427930 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

2483 86th St
Brooklyn, NY 11214
Phone (718) 676-9191

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": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1245407667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2483 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144448",
            "telephone_number": "718-676-9191",
            "fax_number": "718-676-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2483 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144448",
            "telephone_number": "718-676-9191",
            "fax_number": "718-676-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXTGEN PHARMACY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "GROYSMAN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-554-3041"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "028891",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.