86 Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030327 Issued in NY

Legal business name

86 PHARMACY INC.

Practice address

2042 86TH St
Brooklyn, NY 11214-3216

Phone

(718) 266-1268

NPI assigned

Jun 25, 2010

Organization subpart

No

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

Authorized official

Name

Jenny YuNPI 1588118657

Title

Director

Phone

(718) 266-1268

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenny Yu

  • Pharmacist
  • Brooklyn, NY
  • NPI 1588118657
  NPD Authorized official

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1306157102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143216",
            "telephone_number": "718-266-1268",
            "fax_number": "718-266-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2042 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143216",
            "telephone_number": "718-266-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "86 PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-266-1268"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030327",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": "F92378277",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03324949",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 86 Bobo Pharmacy Inc
• 86 Street Dental PC
• 86St RX Inc.
• 86TH St Pharmacy Corp
• 86TH St. Vision Express, LLC
• 86TH Street Community Pharmacy Corp.

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.