Organization Active NPI

Pakam Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1275648693
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
017579 Issued in NY
Legal business name
PAKAM PHARMACY INC
Practice address
597 Marcy Ave
Brooklyn, NY 11206-6406
Phone
(718) 486-5255
Fax
(718) 486-7210
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Mr. Nazir Ahmad, RPH PHARMACIST
Title
President
Phone
(718) 486-5255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 017579 NY Primary

Addresses

Primary practice location

597 Marcy Ave
Brooklyn, NY 11206-6406

Mailing address

597 Marcy Ave
Brooklyn, NY 11206-6406
Phone (718) 486-5255

Other identifiers 1

IdentifierTypeStateIssuer
00733459MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1275648693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 MARCY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112066406",
            "telephone_number": "718-486-5255",
            "fax_number": "718-486-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 MARCY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112066406",
            "telephone_number": "718-486-5255",
            "fax_number": "718-486-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAKAM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "NAZIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-486-5255",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "017579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00733459",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.