Organization Active NPI

Spencer Drugs LTD

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1275694341
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
025393 Issued in NY
Legal business name
SPENCER DRUGS LTD
Practice address
5702 7TH Ave
Brooklyn, NY 11220-3903
Phone
(718) 439-3852
Fax
(718) 439-3529
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Dr. Mary LiNPI 1942758867
Title
Pharmacy Manager
Phone
(718) 439-3852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 025393 NY Primary

Addresses

Primary practice location

5702 7TH Ave
Brooklyn, NY 11220-3903

Mailing address

5702 7TH Ave
Brooklyn, NY 11220-3903
Phone (718) 439-3852

Other identifiers 2

IdentifierTypeStateIssuer
02281125MedicaidNY
2064151OtherPK

Other names 1

  • SPENCER DRUGS LTD Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930016488 NY DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 1254545734 Practice locations: Brooklyn, NY
O20210902001426 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1254545734 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
Spencer Drugs LTD5702 7TH Ave, Brooklyn, NY 11220-3903(718) 439-3852 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jan 1, 2012

National Provider Directory

National Provider Directory

Locations

5702 7th Ave
Brooklyn, NY 11220
Phone (718) 439-3852

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1275694341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5702 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203903",
            "telephone_number": "718-439-3852",
            "fax_number": "718-439-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5702 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203903",
            "telephone_number": "718-439-3852",
            "fax_number": "718-439-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER DRUGS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "718-439-3852",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02281125",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2064151",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPENCER DRUGS LTD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SPENCER DRUGS LTD",
            "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 Oct 30, 2023; 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.