Organization Active NPI

Evon Pfarmacy

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1336265644
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
019252 Issued in NY
Legal business name
EVON PFARMACY
Practice address
160 Atlantic Ave
Brooklyn, NY 11201-5604
Phone
(718) 797-5555
Fax
(718) 797-5555
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alfred H Khalil, RPH
Title
Head Pharmacist
Phone
(718) 797-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 019252 NY Primary

Addresses

Primary practice location

160 Atlantic Ave
Brooklyn, NY 11201-5604

Mailing address

160 Atlantic Ave
Brooklyn, NY 11201-5604
Phone (718) 797-5555

National Provider Directory

National Provider Directory

Locations

160 Atlantic Ave
Brooklyn, NY 11201
Phone (718) 643-6300

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336265644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015604",
            "telephone_number": "718-797-5555",
            "fax_number": "718-797-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015604",
            "telephone_number": "718-797-5555",
            "fax_number": "718-797-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVON PFARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "HEAD PHARMACIST",
        "authorized_official_telephone_number": "718-797-5555",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "019252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 22, 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.