902 Foster Care Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

028501 Issued in NY

Legal business name

902 FOSTER CARE INC

Practice address

902 Foster Ave
Brooklyn, NY 11230-1363

Phone

(718) 859-4100

Fax

(718) 859-0033

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Musurmon Norkulov

Title

President

Phone

(718) 859-4100

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• FIRST CARE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Practitioners 2

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

• Shahbaz Khan

  • Pharmacist
  • Brooklyn, NY
  • NPI 1639352842
  NPD
• Shabbir Ahmed Choudhry, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1740334747
  NPD (past)

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1265625875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 FOSTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301363",
            "telephone_number": "718-859-4100",
            "fax_number": "718-859-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 FOSTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301363",
            "telephone_number": "718-859-4100",
            "fax_number": "718-859-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "902 FOSTER CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2023-03-21",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "NORKULOV",
        "authorized_official_first_name": "MUSURMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-859-4100"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2059092",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02498180",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02871043",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FIRST CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.