Organization Active NPI

Heights Apothecary Inc

Doing business as Heights Apothecary

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1306170063
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029700 Issued in NY
Legal business name
HEIGHTS APOTHECARY INC
Doing business as
Heights Apothecary
Practice address
79 Atlantic Ave
Brooklyn, NY 11201-5503
Phone
(718) 522-2588
Fax
(718) 522-2388
NPI assigned
Sep 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Authorized official

Name
Awatif Beyrouti
Title
Owner
Phone
(718) 522-2588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 029700 NY Primary

Addresses

Primary practice location

79 Atlantic Ave
Brooklyn, NY 11201-5503

Mailing address

79 Atlantic Ave
Brooklyn, NY 11201-5503
Phone (718) 522-2588

Other identifiers 2

IdentifierTypeStateIssuer
2122227OtherPK
3160890MedicaidNY

Other names 1

  • Heights Apothecary Doing business as

National Provider Directory

National Provider Directory

Locations

79 Atlantic Ave
Brooklyn, NY 11201
Phone (718) 522-2588

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": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1306170063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015503",
            "telephone_number": "718-522-2588",
            "fax_number": "718-522-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015503",
            "telephone_number": "718-522-2588",
            "fax_number": "718-522-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIGHTS APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "BEYROUTI",
        "authorized_official_first_name": "AWATIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-522-2588"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122227",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3160890",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heights Apothecary",
            "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 Nov 23, 2015; 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.