Organization Active NPI

Fulton 1St Pharmacy, Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1407277544
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FULTON 1ST PHARMACY, INC
Practice address
1185 Fulton St
Brooklyn, NY 11216-1810
Phone
(718) 484-9100
Fax
(718) 484-9109
NPI assigned
Dec 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Authorized official

Name
Mohamed Elrashidy
Title
Consultant
Phone
(718) 484-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1185 Fulton St
Brooklyn, NY 11216-1810

Mailing address

1185 Fulton St
Brooklyn, NY 11216-1810
Phone (718) 484-9100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150902002331 NY Part B Supplier - Mass Immunization (Roster Biller Only) 0941427827 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1185 Fulton St
Brooklyn, NY 11216
Phone (718) 484-9100

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1407277544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161810",
            "telephone_number": "718-484-9100",
            "fax_number": "718-484-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161810",
            "telephone_number": "718-484-9100",
            "fax_number": "718-484-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON 1ST PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "ELRASHIDY",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "718-484-9100"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 18, 2015; 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.