Organization Active NPI

Oceana Express Pharmacy, Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1376640292
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
027336 Issued in NY
Legal business name
OCEANA EXPRESS PHARMACY, INC
Practice address
2009 Ave U
Brooklyn, NY 11229-3701
Phone
(718) 676-9666
Fax
(718) 232-0034
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Mr. Igor Elberg
Title
Meneger
Phone
(718) 676-9666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 027336 NY Primary

Addresses

Primary practice location

2009 Ave U
Brooklyn, NY 11229-3701

Mailing address

2009 Ave U
Brooklyn, NY 11229-3701
Phone (718) 676-9666

Other identifiers 2

IdentifierTypeStateIssuer
02694806MedicaidNY
3346865OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • RX EXPRESS PHARMACY, INC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930018348 NY DME Supplier - Pharmacy 9638370927 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

2009 Avenue U
Brooklyn, NY 11229
Phone (718) 676-9666

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1376640292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 AVE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293701",
            "telephone_number": "718-676-9666",
            "fax_number": "718-232-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 AVE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293701",
            "telephone_number": "718-676-9666",
            "fax_number": "718-232-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANA EXPRESS PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "ELBERG",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "MENEGER",
        "authorized_official_telephone_number": "718-676-9666",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "027336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02694806",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3346865",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RX EXPRESS PHARMACY, INC",
            "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 Feb 26, 2013; 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.