Active NPI
Cresetti Drug Corp
- Pharmacy
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 019466
- Legal business name
- CRESETTI DRUG CORP
- Practice address
- 454 5TH Ave
Brooklyn, NY 11215-4003 - Phone
- (718) 768-0600
- Fax
- (718) 832-2912
- NPI assigned
- May 28, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Christopher Sutherland, RPH
- Title
- Pharmacist
- Phone
- (718) 768-0600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 019466 | NY | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | |||
| Pharmacy | 333600000X | 019466 | NY | Primary |
| Long Term Care Pharmacy | 3336L0003X | 019466 | NY | |
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
454 5TH Ave
Brooklyn, NY 11215-4003
Mailing address
454 5TH Ave
Brooklyn, NY 11215-4003
Phone (718) 768-0600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01022637 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930030620 | NY | DME Supplier - Pharmacy | 6002935749 | Practice locations: Brooklyn, NY |
| O20150612000451 | NY | Part B Supplier - Pharmacy | 6002935749 | Practice locations: Brooklyn, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Cresetti Drug Corp | Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
454 5th Ave
Brooklyn, NY 11215
Phone (718) 768-0600
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Brooklyn, NY
- NPI 1124350608
-
- Pharmacist
- Brooklyn, NY
- NPI 1962962738
-
- Pharmacist
- Brooklyn, NY
- NPI 1174847503
-
- Pharmacist
- Brooklyn, NY
- NPI 1053683284
-
- Pharmacist
- Brooklyn, NY
- NPI 1235344003
-
- Pharmacist
- Brooklyn, NY
- NPI 1417761123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519689600000",
"number": "1376546820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "454 5TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154003",
"telephone_number": "718-768-0600",
"fax_number": "718-832-2912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "454 5TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154003",
"telephone_number": "718-768-0600",
"fax_number": "718-832-2912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRESETTI DRUG CORP",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-28",
"last_updated": "2018-02-27",
"status": "A",
"authorized_official_last_name": "SUTHERLAND",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "718-768-0600",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": "019466",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NY",
"license": "019466",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NY",
"license": "019466",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01022637",
"state": "NY"
}
],
"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 Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.