Marlboro Drug Co Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

007406 Issued in NY

Legal business name

MARLBORO DRUG CO INC

Doing business as

Marlboro Drug Co Inc

Practice address

2313 Stillwell Ave
Brooklyn, NY 11223-5647

Phone

(718) 373-2600

Fax

(718) 266-5044

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Patrick Manzione, RPHNPI 1457503419

Title

President

Phone

(718) 373-2600

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MARLBORO DRUG CO INC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Manzione, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1457503419
  NPD Authorized official

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1346322138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 STILLWELL AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235647",
            "telephone_number": "718-373-2600",
            "fax_number": "718-266-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 STILLWELL AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235647",
            "telephone_number": "718-373-2600",
            "fax_number": "718-266-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLBORO DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "MANZIONE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-373-2600",
        "authorized_official_credential": "RPH"
    },
    "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": "007406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00263841",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3325746",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARLBORO DRUG CO INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Sonia Markson, DPT
• Shifra Markstein, MASTERS
• Yelena Markunas, AGNP
• Elisabeth Markus-Sullivan, CNM, NP
• Marlboro Car Service Inc
• Marlene Charles MD PC
• Hue Thi Hong Marley, MD
• Marlon Layne Inc
• Tyson Marlow
• Sahar Marlowe

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.