Organization Active NPI

Halco Pharmacy,Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1366463952
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
016744 Issued in NY
Legal business name
HALCO PHARMACY,INC
Practice address
167 Havemeyer St
Brooklyn, NY 11211-5467
Phone
(718) 384-2387
Fax
(718) 384-2387
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Alan Lee
Title
President
Phone
(718) 384-2387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 016744 NY Primary

Addresses

Primary practice location

167 Havemeyer St
Brooklyn, NY 11211-5467

Mailing address

167 Havemeyer St
Brooklyn, NY 11211-5467
Phone (718) 384-2387

Other identifiers 2

IdentifierTypeStateIssuer
016744OtherNYSTATE LICENSE NUMBER
00451510MedicaidNY

Other names 1

  • Mittman Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1366463952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 HAVEMEYER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112115467",
            "telephone_number": "718-384-2387",
            "fax_number": "718-384-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 HAVEMEYER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112115467",
            "telephone_number": "718-384-2387",
            "fax_number": "718-384-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALCO PHARMACY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-384-2387",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "016744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "016744",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00451510",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mittman Pharmacy",
            "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 Mar 7, 2023; 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.