Health Bridge Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

027073 Issued in NY

Legal business name

HEALTH BRIDGE INC

Doing business as

PHARMACY EXPRESS

Practice address

274 Brighton Beach Ave
Brooklyn, NY 11235-7411

Phone

(718) 648-0002

Fax

(718) 648-0700

NPI assigned

Dec 19, 2005

Organization subpart

No

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

Authorized official

Name

Mariana Yusupova, PHRMD

Title

Owner

Phone

(718) 648-0002

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PHARMACY EXPRESS Doing business as

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1356327530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 BRIGHTON BEACH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357411",
            "telephone_number": "718-648-0002",
            "fax_number": "718-648-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 BRIGHTON BEACH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357411",
            "telephone_number": "718-648-0002",
            "fax_number": "718-648-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH BRIDGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "YUSUPOVA",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-648-0002",
        "authorized_official_credential": "PHRMD"
    },
    "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": "027073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02605521",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2063165",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMACY EXPRESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Brooklyn, NY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.