Organization Active NPI

Cresetti Drug Corp

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1376546820
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
019466 Issued in NY
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

Updated by the provider on Feb 27, 2018

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

Authorized official

Name
Mr. Thomas Christopher Sutherland, RPHNPI 1124350608
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01022637MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930030620 NY DME Supplier - PharmacyDME Supplier - Orthotic PersonnelDME Supplier - Oxygen & EquipmentDME Supplier - Prosthetic Personnel 6002935749 Practice locations: Brooklyn, NY
O20150612000451 NY Part B Supplier - Pharmacy 6002935749 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Cresetti Drug Corp454 5TH Ave, Brooklyn, NY 11215-4003(718) 768-0600 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 assignmentParticipating since Jan 1, 2019

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.