Organization Active NPI

STM RX Inc

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1295730455
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
017563 Issued in NY
Legal business name
STM RX INC
Practice address
524 Nostrand Ave
Brooklyn, NY 11216-2012
Phone
(718) 230-3009
Fax
(718) 230-3299
NPI assigned
Jun 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Alex Perchuk, RPH
Title
Corporate Secretary
Phone
(718) 835-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 017563 NY Primary

Addresses

Primary practice location

524 Nostrand Ave
Brooklyn, NY 11216-2012

Mailing address

524 Nostrand Ave
Brooklyn, NY 11216-2012
Phone (718) 230-3009

Other identifiers 1

IdentifierTypeStateIssuer
01163217MedicaidNY

Other names 1

  • THRIFTWAY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

524 Nostrand Ave
Brooklyn, NY 11216
Phone (718) 230-3009

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1295730455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162012",
            "telephone_number": "718-230-3009",
            "fax_number": "718-230-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162012",
            "telephone_number": "718-230-3009",
            "fax_number": "718-230-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STM RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "PERCHUK",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "718-835-2000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "017563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01163217",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THRIFTWAY 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 Jun 23, 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.