Organization Active NPI

Park Drugs Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1306202304
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
034003 Issued in NY
Legal business name
PARK DRUGS INC
Practice address
1590 Fulton St
Brooklyn, NY 11213-1124
Phone
(347) 987-3380
Fax
(347) 916-0310
NPI assigned
Jan 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Daniel Mushyakov
Title
President
Phone
(347) 987-3380

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 034003 NY Primary

Addresses

Primary practice location

1590 Fulton St
Brooklyn, NY 11213-1124

Mailing address

1590 Fulton St
Brooklyn, NY 11213-1124
Phone (347) 987-3380

Other identifiers 1

IdentifierTypeStateIssuer
2157602OtherPK

Other names 1

  • Tablet Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170501002485 NY DME Supplier - Pharmacy 2668759523 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Park Drugs Inc1590 Fulton St, Brooklyn, NY 11213-1124(347) 987-3380 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Feb 10, 2017

National Provider Directory

National Provider Directory

Locations

1590 Fulton St
Brooklyn, NY 11213
Phone (347) 987-3380

693 Broadway
Brooklyn, NY 11206
Phone (347) 987-3380

Practitioners & affiliated clinicians

Practitioners 2

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": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1306202304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131124",
            "telephone_number": "347-987-3380",
            "fax_number": "347-916-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131124",
            "telephone_number": "347-987-3380",
            "fax_number": "347-916-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "MUSHYAKOV",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-987-3380"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157602",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tablet 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 Aug 31, 2026; 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.