Eliyahus Pharmacy Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ELIYAHUS PHARMACY INC.

Practice address

573 Kings Hwy
Brooklyn, NY 11223-2003

Phone

(718) 627-0485

NPI assigned

Aug 13, 2007

Organization subpart

No

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

Authorized official

Name

Ilias MlabasatiNPI 1700098340

Title

R PH

Phone

(718) 627-0485

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Practitioners 2

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

• Ilias Mlabasati, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1700098340
  NPD Authorized official
• Miriam Mlabasati, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1386365724
  NPD (past)

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1346432473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232003",
            "telephone_number": "718-627-0485",
            "fax_number": "718-627-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232003",
            "telephone_number": "718-627-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIYAHUS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "MLABASATI",
        "authorized_official_first_name": "ILIAS",
        "authorized_official_title_or_position": "R PH",
        "authorized_official_telephone_number": "718-627-0485"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "024117",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01903837",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.