Organization Active NPI

Little Bangla Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1376038430
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
036715 Issued in NY
Legal business name
LITTLE BANGLA PHARMACY INC
Practice address
401 Church Ave
Brooklyn, NY 11218-3107
Phone
(718) 554-1900
Fax
(718) 496-6014
NPI assigned
Jun 29, 2018
Last updated
Sep 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Anwaar M Baig
Title
President
Phone
(718) 554-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 036715 NY Primary

Addresses

Primary practice location

401 Church Ave
Brooklyn, NY 11218-3107

Mailing address

401 Church Ave
Brooklyn, NY 11218-3107
Phone (718) 554-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181030001465 NY DME Supplier - Pharmacy 1153674692 Practice locations: Brooklyn, NY
O20220711001787 NY Part B Supplier - Pharmacy 1153674692 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

401 Church Ave
Brooklyn, NY 11218
Phone (718) 554-1900

NPI Registry JSON

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1376038430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183107",
            "telephone_number": "718-554-1900",
            "fax_number": "718-496-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183107",
            "telephone_number": "718-554-1900",
            "fax_number": "718-496-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE BANGLA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "BAIG",
        "authorized_official_first_name": "ANWAAR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-554-1900"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "036715",
            "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 Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.