Active NPI
Brunswick Hospital Center Inc
Doing business as Brunswick Hospital Center Pharmacy
- Institutional Pharmacy
- Amityville, NY
National Provider Identifier
1275575052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Institutional Pharmacy
- License
- 010479
- Legal business name
- BRUNSWICK HOSPITAL CENTER INC
- Doing business as
- Brunswick Hospital Center Pharmacy
- Practice address
- 366 Broadway
Amityville, NY 11701-2711 - Phone
- (631) 789-7000
- Fax
- (631) 789-7467
- NPI assigned
- Jun 13, 2006
- Last updated
- Aug 31, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Heiser, R.PH.
- Title
- Pharmacy Director
- Phone
- (631) 789-7000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Institutional Pharmacy | 3336I0012X | 010479 | NY | Primary |
Addresses
Primary practice location
366 Broadway
Amityville, NY 11701-2711
Mailing address
366 Broadway
Amityville, NY 11701-2711
Phone (631) 789-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00314021 | Medicaid | NY | |
| 2059898 | Other | PK |
Other names 1
- BRUNSWICK HOSPITAL CENTER PHARMACY
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir-usa.unify.chbase.com/org/brunswi-11e730b8
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472601600000",
"number": "1275575052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 BROADWAY",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117012711",
"telephone_number": "631-789-7000",
"fax_number": "631-789-7467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "366 BROADWAY",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117012711",
"telephone_number": "631-789-7000",
"fax_number": "631-789-7467"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUNSWICK HOSPITAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-13",
"last_updated": "2016-08-31",
"status": "A",
"authorized_official_last_name": "HEISER",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PHARMACY DIRECTOR",
"authorized_official_telephone_number": "631-789-7000",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": "NY",
"license": "010479",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00314021",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2059898",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BRUNSWICK HOSPITAL CENTER PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Amityville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.