Medifriendrx Services Ny LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEDIFRIENDRX SERVICES NY LLC

Doing business as

MedifriendRx Pharmacy Sunset Park

Practice address

514 49TH St
Brooklyn, NY 11220-2010

Phone

(512) 596-2930

Fax

(760) 859-3614

NPI assigned

Jan 25, 2017

Last updated

Jan 25, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ellie Gerber

Title

VP

Phone

(512) 596-2930

Specialties & licenses 1

Addresses

Other names 1

• MedifriendRx Pharmacy Sunset Park Doing business as

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1386181659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4128",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920524128",
            "telephone_number": "512-596-2930",
            "fax_number": "760-859-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 49TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202010",
            "telephone_number": "512-596-2930",
            "fax_number": "760-859-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIFRIENDRX SERVICES NY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "GERBER",
        "authorized_official_first_name": "ELLIE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "512-596-2930"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedifriendRx Pharmacy Sunset Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.