Organization Active NPI

Modern Chemist LLC

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1245569342
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029737 Issued in NY
Legal business name
MODERN CHEMIST LLC
Practice address
189 7TH Ave
Brooklyn, NY 11215-3013
Phone
(718) 369-6100
Fax
(718) 369-6101
NPI assigned
Dec 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Carlos UrriolaNPI 1437272762
Title
Pharmacist/Owner
Phone
(718) 369-6100

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
Community/Retail Pharmacy 3336C0003X 029737 NY Primary

Addresses

Primary practice location

189 7TH Ave
Brooklyn, NY 11215-3013

Mailing address

189 7TH Ave
Brooklyn, NY 11215-3013
Phone (718) 369-6100

Other identifiers 1

IdentifierTypeStateIssuer
3364267OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • THE MODERN CHEMIST Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220405000295 NY Part B Supplier - Pharmacy 4183010911 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

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": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1245569342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153013",
            "telephone_number": "718-369-6100",
            "fax_number": "718-369-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153013",
            "telephone_number": "718-369-6100",
            "fax_number": "718-369-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN CHEMIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "URRIOLA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "718-369-6100"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3364267",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MODERN CHEMIST",
            "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 28, 2010; 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.