NPIMap

Organization Active NPI

O and a Pharmacy Corp

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1386703387
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
028056 Issued in NY
Legal business name
O AND A PHARMACY CORP
Practice address
203 Court St
Brooklyn, NY 11201-6420
Phone
(718) 923-1122
Fax
(718) 923-9811
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Bassam AminNPI 1790851954
Title
President
Phone
(718) 923-1122

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 028056 NY Primary

Addresses

Primary practice location

203 Court St
Brooklyn, NY 11201-6420

Mailing address

203 Court St
Brooklyn, NY 11201-6420
Phone (718) 923-1122

Other identifiers 2

IdentifierTypeStateIssuer
02808973MedicaidNY
3345421OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • WYCKOFFS CORNER PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

205 Court St
Brooklyn, NY 11201
Phone (718) 923-1122

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": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1386703387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 COURT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016420",
            "telephone_number": "718-923-1122",
            "fax_number": "718-923-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 COURT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016420",
            "telephone_number": "718-923-1122",
            "fax_number": "718-923-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O AND A PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "BASSAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-923-1122"
    },
    "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": "028056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02808973",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3345421",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WYCKOFFS CORNER 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 Dec 5, 2012; 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.