Organization Active NPI

Thriftway Flatbush Ave. Drug Corp.

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1376548545
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
026138 Issued in NY
Legal business name
THRIFTWAY FLATBUSH AVE. DRUG CORP.
Practice address
542 Flatbush Ave
Brooklyn, NY 11225-4804
Phone
(718) 284-9800
Fax
(718) 462-5303
NPI assigned
Jun 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Authorized official

Name
Alex Perchuk, RPH
Title
Corporate Secretary
Phone
(718) 835-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 026138 NY Primary

Addresses

Primary practice location

542 Flatbush Ave
Brooklyn, NY 11225-4804

Mailing address

542 Flatbush Ave
Brooklyn, NY 11225-4804
Phone (718) 284-9800

Other identifiers 1

IdentifierTypeStateIssuer
02394865MedicaidNY

Other names 1

  • Thriftway Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930049665 NY DME Supplier - Pharmacy 3072720390 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
Thriftway Flatbush Avenue Drug Corp542 Flatbush Ave, Brooklyn, NY 11225-4804(718) 284-9800 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Wheelchair Seating/Cushions|Tracheotomy Supplies|Urological Supplies|Enteral Nutrients|Parenteral Equipment an… Does not accept assignmentParticipating since Nov 25, 2003

National Provider Directory

National Provider Directory

Locations

542 Flatbush Ave
Brooklyn, NY 11225
Phone (718) 284-9800

Practitioners & affiliated clinicians

Practitioners 2

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": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374192000000",
    "number": "1376548545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112254804",
            "telephone_number": "718-284-9800",
            "fax_number": "718-462-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112254804",
            "telephone_number": "718-284-9800",
            "fax_number": "718-462-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIFTWAY FLATBUSH AVE. DRUG CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2013-07-19",
        "status": "A",
        "authorized_official_last_name": "PERCHUK",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "718-835-2000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "026138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02394865",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thriftway Pharmacy",
            "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 Jul 19, 2013; 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.