Ditmas Pharmacy Corp

Primary specialty

PharmacistTaxonomy code 183500000X

License

025147 Issued in NY

Legal business name

DITMAS PHARMACY CORP

Practice address

509 Ditmas Ave
Brooklyn, NY 11218-5001

Phone

(718) 675-0055

Fax

(718) 675-1274

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Joseph Yarmolinsky

Title

Owner

Phone

(718) 675-0055

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Practitioners 1

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

• Julia Sudakov, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1275617060
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1255415030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 DITMAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185001",
            "telephone_number": "718-675-0055",
            "fax_number": "718-675-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 DITMAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185001",
            "telephone_number": "718-675-0055",
            "fax_number": "718-675-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DITMAS PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "YARMOLINSKY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-675-0055"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "025147",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NY",
            "license": "025147",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025147",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": "025147",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02194118",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP #",
            "identifier": "3323259",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ditmas Park Dialysis Center LLC
• Ditmas Park Pharmacy Inc (Ditmas Park Pharmacy)
• Ditmas Park Rehabilitation & Care Center LLC
• Ditmas Park Rehabilitation & Care Center LLC
• Ditmas Park Wellness PT PLLC
• Dinean Ann Ditolla, MS,CCC-SLP
• Oksana Ditwell, AGNP
• Jillian Leigh Diuguid-Gerber, MD
• Steven Marc Divack, M.D.
• Tina Marie Divello

• Pharmacist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.