Philomina RX, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PHILOMINA RX, LLC

Practice address

9006 5TH Ave
Brooklyn, NY 11209-5908

Phone

(718) 333-5304

Fax

(718) 333-5295

NPI assigned

Jan 13, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Beshara, PHARM D, CCPNPI 1255614806

Title

Owner, Director

Phone

(732) 956-7535

Specialties & licenses 1

Addresses

Other names 1

• Bay Ridge Plaza Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

Tax ID family

Bay Ridge Plaza Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Philomina RX, LLC

  • Long Term Care Pharmacy
  • Brooklyn, NY
  • NPI 1518807239
  NPD tax ID

Locations

Practitioners 2

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

• Samuel Beshara, RPH, PHARM D, CCP

  • Pharmacist
  • New York, NY
  • NPI 1255614806
  NPD Authorized official
• Karen Mary Assafin

  • Pharmacist
  • Brooklyn, NY
  • NPI 1982550851
  NPD (past)

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1376294132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PALISADES RD",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573585",
            "telephone_number": "732-956-7535",
            "fax_number": "718-333-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9006 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095908",
            "telephone_number": "718-333-5304",
            "fax_number": "718-333-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILOMINA RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "BESHARA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER, DIRECTOR",
        "authorized_official_telephone_number": "732-956-7535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D, CCP"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Ridge Plaza Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suewayne Jodyann Phillips
• Vibert Phillips
• Wendy Yvonne Phillips
• Zachary Phillips, RN
• Gemelyn Philogene, MSW
• Philomina RX, LLC
• Mecca Phinizy
• Barbara Phipps-Johnson, RN
• Graciela E. Phlatts, RN
• Phobia Lifeline Psychological Services, Inc.

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.