Wallabout Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029985 Issued in NY

Legal business name

WALLABOUT PHARMACY INC

Practice address

711 Bedford Ave
Brooklyn, NY 11206-5428

Phone

(718) 855-0214

Fax

(718) 855-0358

NPI assigned

Apr 12, 2010

Organization subpart

No

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

Authorized official

Name

Harry Deutsch

Title

Owner

Phone

(845) 764-5122

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Remedies Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

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

Locations

Practitioners 3

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

• Laurie Abadi, PHARM D

  • Pharmacist
  • Brooklyn, NY
  • NPI 1184154510
  NPD (past)
• Hillary Shiff, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1184946030
  NPD (past)
• Boris D Yunatanov

  • Pharmacist
  • Brooklyn, NY
  • NPI 1295340313
  NPD (past)

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458518400000",
    "number": "1295051522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065428",
            "telephone_number": "718-855-0214",
            "fax_number": "718-855-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065428",
            "telephone_number": "718-855-0214",
            "fax_number": "718-855-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLABOUT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2016-03-21",
        "status": "A",
        "authorized_official_last_name": "DEUTSCH",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-764-5122"
    },
    "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": "029985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03219041",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124608",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Remedies Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon Wall, PT,DPT
• David Lucas Wall
• Dina Wall, SPECIAL ED
• Ian Wall, D.O.
• Wallabout Pharmacy Inc
• Wallace Health, Inc.
• Georgia Wallace-Scott
• Dorian James Wallace, MT-BC
• Elese Marlene Wallace, LPN
• Giselle Fourier Wallace, DDS

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, 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 Mar 21, 2016; 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.