Organization Active NPI

Boerum Hill Chemist Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1316450232
Registry record updated Jun 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
035815 Issued in NY
Legal business name
BOERUM HILL CHEMIST INC
Practice address
8022 18TH Ave
Brooklyn, NY 11214-1706
Phone
(718) 643-6975
Fax
(718) 852-8792
NPI assigned
Nov 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2020

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

Authorized official

Name
Queenie Cai
Title
Owner
Phone
(718) 643-6975

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 035815 NY Primary

Addresses

Primary practice location

8022 18TH Ave
Brooklyn, NY 11214-1706

Mailing address

8022 18TH Ave
Brooklyn, NY 11214-1706
Phone (718) 643-6975

Other identifiers 2

IdentifierTypeStateIssuer
2173410OtherPK
00703324MedicaidNY

Other names 2

  • Boerum Hill Chemist Doing business as
  • Health Rx Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

8022 18th Ave
Brooklyn, NY 11214
Phone (718) 643-6975

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": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593216000000",
    "number": "1316450232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8022 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141706",
            "telephone_number": "718-643-6975",
            "fax_number": "718-852-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8022 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141706",
            "telephone_number": "718-643-6975",
            "fax_number": "718-852-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOERUM HILL CHEMIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2020-06-27",
        "certification_date": "2020-06-27",
        "status": "A",
        "authorized_official_last_name": "CAI",
        "authorized_official_first_name": "QUEENIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-643-6975"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2173410",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00703324",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boerum Hill Chemist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boerum Hill Chemist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health Rx 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 Jun 27, 2020; 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.