Active NPI
STM RX Inc
- Pharmacy
- Brooklyn, NY
National Provider Identifier
1295730455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 017563
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01163217 | Medicaid | NY |
Other names 1
- THRIFTWAY PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.