Organization Active NPI

Jevan Pharmacy,Inc

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1306071923
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
029442 Issued in NY
Legal business name
JEVAN PHARMACY,INC
Practice address
1146A Coney Island Ave
Brooklyn, NY 11230
Phone
(718) 805-4300
NPI assigned
May 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Authorized official

Name
Miss Kanwal Aslam
Title
Owner
Phone
(718) 805-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 029442 NY Primary

Addresses

Primary practice location

1146A Coney Island Ave
Brooklyn, NY 11230

Mailing address

1146A Coney Island Ave
Brooklyn, NY 11230
Phone (718) 805-4300

National Provider Directory

National Provider Directory

Locations

1146 Coney Island Ave
#A
Brooklyn, NY 11230
Phone (718) 805-4300

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1306071923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146A CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11230",
            "telephone_number": "718-805-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146A CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11230",
            "telephone_number": "718-805-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEVAN PHARMACY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "ASLAM",
        "authorized_official_first_name": "KANWAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-805-4300",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "029442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 7, 2011; 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.