Organization Active NPI

B&T Marlboro Pharmacy, Inc.

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1407181811
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
052435 Issued in NY
Legal business name
B&T MARLBORO PHARMACY, INC.
Practice address
2845 86TH St
First Floor Store Front
Brooklyn, NY 11223-4634
Phone
(718) 373-4800
Fax
(718) 373-4848
NPI assigned
Oct 3, 2009
Organization subpart
Yes
Parent organization
B&T MARLBORO PHARMACY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Authorized official

Name
Mr. Boris Royzen, PHARMD
Title
Supervising Pharmacist
Phone
(718) 373-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 052435 NY Primary

Addresses

Primary practice location

2845 86TH St
First Floor Store Front
Brooklyn, NY 11223-4634

Mailing address

2845 86TH St
First Floor Store Front
Brooklyn, NY 11223-4634
Phone (718) 373-4800

Other identifiers 1

IdentifierTypeStateIssuer
03185393MedicaidNY

National Provider Directory

National Provider Directory
Part of
BT Marlboro Pharmacy Inc

Locations

2845 86th St
#1
Brooklyn, NY 11223
Phone (718) 373-4800

NPI Registry JSON

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

{
    "created_epoch": "1254528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1407181811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 86TH ST",
            "address_2": "FIRST FLOOR STORE FRONT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234634",
            "telephone_number": "718-373-4800",
            "fax_number": "718-373-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 86TH ST",
            "address_2": "FIRST FLOOR STORE FRONT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234634",
            "telephone_number": "718-373-4800",
            "fax_number": "718-373-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&T MARLBORO PHARMACY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "B&T MARLBORO PHARMACY, INC.",
        "enumeration_date": "2009-10-03",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "ROYZEN",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-373-4800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "052435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03185393",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 19, 2010; 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.