Ridge Ez Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

RIDGE EZ PHARMACY INC.

Practice address

6923 4TH Ave
Brooklyn, NY 11209-1501

Phone

(718) 333-5356

NPI assigned

Jan 26, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Amrr S Bahlool Jr., PHARM DNPI 1922685155

Title

Supervising Pharmacist

Phone

(347) 806-6772

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Ridge Ez Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ridge Ez Pharmacy Inc. LTC

  • Long Term Care Pharmacy
  • Brooklyn, NY
  • NPI 1447060090
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amrr S Bahlool

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Brooklyn, NY
  • NPI 1922685155
  NPD Authorized official
• Sarha Hussien Abdallah

  • Pharmacist
  • Brooklyn, NY
  • NPI 1780539569
  NPD (past)
• Hayat Yassine

  • Registered Nurse
  • Brooklyn, NY
  • NPI 1578418356
  NPD (past)

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1396497756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8834 FORT HAMILTON PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6923 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091501",
            "telephone_number": "718-333-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE EZ PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "BAHLOOL",
        "authorized_official_first_name": "AMRR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "347-806-6772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ridge Advanced Physical Therapy PLLC
• Ridge Blvd Dental PC
• Ridge Chemists, LLC
• Ridge Chemists, LLC
• Ridge Colonial LLC
• Ridge Ez Pharmacy Inc. LTC
• Ridge Psychological Services PLLC
• Natalie Ann Ridge, DO
• Ridgeboro Opticians
• Ridgeway Transit Inc

• 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 26, 2022; 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.