Organization Active NPI

Parkside Express Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1265899058
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PARKSIDE EXPRESS PHARMACY, INC.
Doing business as
Parkside Express Pharmacy, Inc.
Practice address
685 Flatbush Ave
Brooklyn, NY 11225-5689
Phone
(347) 529-1843
Fax
(347) 529-1846
NPI assigned
Jan 25, 2016
Last updated
Aug 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Cassandre Nelson
Title
President
Phone
(347) 529-1843

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X 034279 NY
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

685 Flatbush Ave
Brooklyn, NY 11225-5689

Mailing address

685 Flatbush Ave
Brooklyn, NY 11225-5689
Phone (347) 529-1843

Other identifiers 2

IdentifierTypeStateIssuer
04487514MedicaidNY
2157778OtherPK

Other names 1

  • Parkside Express Pharmacy, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170124002962 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2365738721 Practice locations: Brooklyn, NY
O20220303002303 NY Part B Supplier - Pharmacy 2365738721 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
Parkside Express Pharmacy, Inc.685 Flatbush Ave, Brooklyn, NY 11225-5689(347) 529-1843 Nebulizer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Surgical Dressings Accepts assignmentParticipating since Oct 1, 2016

National Provider Directory

National Provider Directory

Locations

685 Flatbush Ave
Brooklyn, NY 11225
Phone (347) 529-1843

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1265899058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112255689",
            "telephone_number": "347-529-1843",
            "fax_number": "347-529-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112255689",
            "telephone_number": "347-529-1843",
            "fax_number": "347-529-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE EXPRESS PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CASSANDRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-529-1843"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "034279",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04487514",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157778",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkside Express Pharmacy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Parkside Express Pharmacy, Inc.",
            "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 Aug 5, 2026; 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.