Active NPI
Park Drugs Inc
- Community/Retail Pharmacy
- Brooklyn, NY
National Provider Identifier
1306202304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 034003
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2157602 | Other | PK |
Other names 1
- Tablet Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170501002485 | NY | DME Supplier - Pharmacy | 2668759523 | Practice locations: Brooklyn, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Park Drugs Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Brooklyn, NY
- NPI 1750888632
-
- Pharmacist
- Brooklyn, NY
- NPI 1851860035
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.