Organization Active NPI

Care Land Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1275937229
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
032978 Issued in NY
Legal business name
CARE LAND PHARMACY INC
Practice address
84 Clark St
Brooklyn, NY 11201-2721
Phone
(347) 987-4315
Fax
(347) 987-4316
NPI assigned
Oct 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Ayman Tawadros, RPH.NPI 1336465400
Title
Secretary
Phone
(347) 987-4315

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 032978 NY Primary

Addresses

Primary practice location

84 Clark St
Brooklyn, NY 11201-2721

Mailing address

84 Clark St
Brooklyn, NY 11201-2721
Phone (347) 987-4315

Other identifiers 2

IdentifierTypeStateIssuer
2148669OtherPK
04133446MedicaidNY

Other names 1

  • Careland Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150528000478 NY DME Supplier - Pharmacy 2860712122 Practice locations: Brooklyn, NY
O20160219000702 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2860712122 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
Care Land Pharmacy Inc84 Clark St, Brooklyn, NY 11201-2721(347) 987-4315 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since May 29, 2015

National Provider Directory

National Provider Directory

Locations

84 Clark St
Brooklyn, NY 11201
Phone (347) 987-4315

Practitioners & affiliated clinicians

Practitioners 2

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": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1275937229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 CLARK ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012721",
            "telephone_number": "347-987-4315",
            "fax_number": "347-987-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 CLARK ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012721",
            "telephone_number": "347-987-4315",
            "fax_number": "347-987-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE LAND PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "TAWADROS",
        "authorized_official_first_name": "AYMAN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "347-987-4315",
        "authorized_official_credential": "RPH."
    },
    "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": "032978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148669",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04133446",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Careland Pharmacy",
            "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 Jan 13, 2017; 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.