Organization Active NPI

Delta Pharmacy Inc.

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1407375389
Registry record updated Sep 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
I049966 Issued in NY
Legal business name
DELTA PHARMACY INC.
Doing business as
Delta Pharmacy Inc.
Practice address
4202 Church Ave
Brooklyn, NY 11203-3012
Phone
(347) 663-3944
Fax
(347) 663-3943
NPI assigned
Sep 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2017

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

Authorized official

Name
Mr. Hisbert Precil, RPHNPI 1720264484
Title
Pharmacist
Phone
(646) 642-2035

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X I049966 NY Primary

Addresses

Primary practice location

4202 Church Ave
Brooklyn, NY 11203-3012

Mailing address

1270 Barry Dr S
Valley Stream, NY 11580-1533

Other names 1

  • Delta Pharmacy Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221103001842 NY Part B Supplier - Pharmacy 1052677515 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

4202 Church Ave
Brooklyn, NY 11203
Phone (347) 663-3944

Practitioners & affiliated clinicians

Practitioners 1

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": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505174400000",
    "number": "1407375389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 BARRY DR S",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033012",
            "telephone_number": "347-663-3944",
            "fax_number": "347-663-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2017-09-12",
        "status": "A",
        "authorized_official_last_name": "PRECIL",
        "authorized_official_first_name": "HISBERT",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "646-642-2035",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I049966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Pharmacy Inc.",
            "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 Sep 12, 2017; 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.