Active NPI
Victory Memorial Hospital
- Long Term Care Pharmacy
- Brooklyn, NY
National Provider Identifier
1295741841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 009868
- Legal business name
- VICTORY MEMORIAL HOSPITAL
- Practice address
- 699 92ND St
Brooklyn, NY 11228-3619 - Phone
- (718) 567-1203
- Fax
- (718) 567-1438
- NPI assigned
- Aug 1, 2006
- 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
- Richard Williams, MS PHARMD
- Title
- Director of Pharmacy
- Phone
- (718) 567-1203
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Institutional Pharmacy | 3336I0012X | |||
| Long Term Care Pharmacy | 3336L0003X | 009868 | NY | Primary |
Addresses
Primary practice location
699 92ND St
Brooklyn, NY 11228-3619
Mailing address
699 92ND St
Brooklyn, NY 11228-3619
Phone (718) 567-1203
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3349695 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 01196318 | Medicaid | NY | |
| 00243449 | Medicaid | NY |
Other names 1
- VICTORY MEMORIAL HOSPITAL
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271721600000",
"number": "1295741841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "699 92ND ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112283619",
"telephone_number": "718-567-1203",
"fax_number": "718-567-1438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "699 92ND ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112283619",
"telephone_number": "718-567-1203",
"fax_number": "718-567-1438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORY MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-01",
"last_updated": "2010-04-20",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "718-567-1203",
"authorized_official_credential": "MS PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NY",
"license": "009868",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3349695",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01196318",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00243449",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VICTORY MEMORIAL HOSPITAL",
"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 Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.