Organization Active NPI

Abo Pharmacy Corp

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1316997091
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
027745 Issued in NY
Legal business name
ABO PHARMACY CORP
Doing business as
ABO PHARMACY CORP
Practice address
8003 Flatlands Ave
Brooklyn, NY 11236-3533
Phone
(718) 872-5142
Fax
(718) 872-5137
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Authorized official

Name
Artem AshirovNPI 1508158171
Title
Secretary
Phone
(917) 627-9410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 027745 NY Primary

Addresses

Primary practice location

8003 Flatlands Ave
Brooklyn, NY 11236-3533

Mailing address

8003 Flatlands Ave
Brooklyn, NY 11236-3533
Phone (718) 872-5142

Other identifiers 2

IdentifierTypeStateIssuer
2067741OtherPK
2749333MedicaidNY

Other names 1

  • ABO PHARMACY CORP Doing business as

National Provider Directory

National Provider Directory

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": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1316997091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8003 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363533",
            "telephone_number": "718-872-5142",
            "fax_number": "718-872-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8003 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363533",
            "telephone_number": "718-872-5142",
            "fax_number": "718-872-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABO PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "ASHIROV",
        "authorized_official_first_name": "ARTEM",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "917-627-9410"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2067741",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2749333",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABO PHARMACY CORP",
            "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 Jan 24, 2017; 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.