NPIMap

Organization Active NPI

Brookdale RX Inc.

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1376093674
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
033826 Issued in NY
Legal business name
BROOKDALE RX INC.
Practice address
1110 Pennsylvania Ave
Brooklyn, NY 11207-9003
Phone
(718) 240-8650
Fax
(347) 462-4983
NPI assigned
Oct 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Alex Antonopoulos
Title
Supervising Pharmacist
Phone
(718) 240-8650

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 033826 NY Primary

Addresses

Primary practice location

1110 Pennsylvania Ave
Brooklyn, NY 11207-9003

Mailing address

1110 Pennsylvania Ave
Brooklyn, NY 11207-9003
Phone (718) 240-8650

Other identifiers 1

IdentifierTypeStateIssuer
2166346OtherPK

Other names 1

  • Brookdale Care Rx Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brookdale Rxinc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1376093674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 PENNSYLVANIA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112079003",
            "telephone_number": "718-240-8650",
            "fax_number": "347-462-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 PENNSYLVANIA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112079003",
            "telephone_number": "718-240-8650",
            "fax_number": "347-462-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE RX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "ANTONOPOULOS",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-240-8650"
    },
    "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": "033826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166346",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Care Rx",
            "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 Jan 17, 2017; 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.