Organization Active NPI

Farmacon Enterprises LTD

Doing business as Farmacon ENT LTD

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1265443824
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
015627 Issued in NY
Legal business name
FARMACON ENTERPRISES LTD
Doing business as
Farmacon ENT LTD
Practice address
8007 5TH Ave
Brooklyn, NY 11209-4003
Phone
(718) 238-1090
Fax
(718) 748-9275
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
John DemetriadesNPI 1154644706
Title
Supervising Pharmacist
Phone
(718) 238-1090

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 015627 NY Primary

Addresses

Primary practice location

8007 5TH Ave
Brooklyn, NY 11209-4003

Mailing address

8007 5TH Ave
Brooklyn, NY 11209-4003
Phone (718) 238-1090

Other identifiers 2

IdentifierTypeStateIssuer
3362679OtherNCPDP PROVIDER IDENTIFICATION NUMBER
00268539MedicaidNY

Other names 1

  • FARMACON ENT LTD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930040928 NY DME Supplier - Pharmacy 5193846699 Practice locations: Brooklyn, NY
O20210325000981 NY Part B Supplier - Mass Immunization (Roster Biller Only) 5193846699 Practice locations: Brooklyn, NY
O20211130000772 NY Part B Supplier - Pharmacy 5193846699 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
Farmacon Enterprises LTD8007 5TH Ave, Brooklyn, NY 11209-4003(718) 238-1090 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Ostomy Supplies|Nebulizer Equipment and/or Supplies|Surgical Dressings Accepts assignmentParticipating since Jan 1, 2001

National Provider Directory

National Provider Directory

Locations

8007 5th Ave
Brooklyn, NY 11209
Phone (718) 238-1090

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": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1265443824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8007 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094003",
            "telephone_number": "718-238-1090",
            "fax_number": "718-748-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8007 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094003",
            "telephone_number": "718-238-1090",
            "fax_number": "718-748-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACON ENTERPRISES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "DEMETRIADES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-238-1090"
    },
    "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": "015627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3362679",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00268539",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACON ENT LTD",
            "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 Oct 19, 2012; 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.