Organization Active NPI

E & S Pharmacy Corporation

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1295891174
Registry record updated Jun 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
E & S PHARMACY CORPORATION
Practice address
295 Kings Hwy
Brooklyn, NY 11223-1348
Phone
(718) 382-4400
Fax
(718) 998-1764
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2008

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

Authorized official

Name
Edward GlazarovNPI 1538482005
Title
President
Phone
(917) 613-2386

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 023739 NY
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

295 Kings Hwy
Brooklyn, NY 11223-1348

Mailing address

295 Kings Hwy
Brooklyn, NY 11223-1348
Phone (718) 382-4400

Other identifiers 2

IdentifierTypeStateIssuer
3307596OtherOTHER ID NUMBER-COMMERCIAL NUMBER
01879496MedicaidNY

Other names 1

  • WELLENS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

295 Kings Hwy
Brooklyn, NY 11223
Phone (718) 382-4400

Practitioners & affiliated clinicians

Practitioners 1

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": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213401600000",
    "number": "1295891174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231348",
            "telephone_number": "718-382-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231348",
            "telephone_number": "718-382-4400",
            "fax_number": "718-998-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E & S PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-06-14",
        "status": "A",
        "authorized_official_last_name": "GLAZAROV",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-613-2386"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "023739",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3307596",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01879496",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLENS 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 14, 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.