Brisely Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

018799 Issued in NY

Legal business name

BRISELY PHARMACY INC

Practice address

4229 Broadway
New York, NY 10033-3707

Phone

(212) 781-6314

Fax

(212) 795-7343

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Manuel Antonio Mendez, PHARMACISTNPI 1700108883

Title

Supervising Pharmacist

Phone

(212) 781-6314

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Manuel Antonio Mendez, RPH

  • Pharmacist
  • New York, NY
  • NPI 1700108883
  NPD (past) Authorized official
• Brisely Espinal, PHARMD

  • Pharmacist
  • Brooklyn, NY
  • NPI 1558683623
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1275674376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333707",
            "telephone_number": "212-781-6314",
            "fax_number": "212-795-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333707",
            "telephone_number": "212-781-6314",
            "fax_number": "212-795-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISELY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "212-781-6314",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "018799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00914663",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "3385158",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derek R Brinster, M.D.
• Kyle Ian Brintz, MD
• Regine Coicou Brioche, M.D.
• Isabella Briscoe, RN
• Lashante M Briscoe
• Heriberto Enrique Briseno, MD
• Brenna C Briski, MA EC/ECSE
• Klara Briskin, M.D.
• Adam S Brisman, D.M.D.
• David L. Brisman, D.M.D.

• Community/Retail Pharmacy in New York, NY
• Providers in New York, 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 Nov 3, 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.