Organization Active NPI

Swan Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1407902356
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
026399 Issued in NY
Legal business name
SWAN PHARMACY INC
Practice address
650 Franklin Ave
Brooklyn, NY 11238-3705
Phone
(718) 623-9633
Fax
(718) 623-9842
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Authorized official

Name
Nocamagu TuswaNPI 1548584048
Title
Pharmacist
Phone
(718) 623-9633

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
Community/Retail Pharmacy 3336C0003X 026399 NY Primary

Addresses

Primary practice location

650 Franklin Ave
Brooklyn, NY 11238-3705

Mailing address

650 Franklin Ave
Brooklyn, NY 11238-3705
Phone (718) 623-9633

Other identifiers 2

IdentifierTypeStateIssuer
3336357OtherNYNCPDP
02513326MedicaidNY

National Provider Directory

National Provider Directory

Locations

650 Franklin Ave
Brooklyn, NY 11238
Phone (718) 623-9633

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1407902356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 FRANKLIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383705",
            "telephone_number": "718-623-9633",
            "fax_number": "718-623-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 FRANKLIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383705",
            "telephone_number": "718-623-9633",
            "fax_number": "718-623-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "TUSWA",
        "authorized_official_first_name": "NOCAMAGU",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-623-9633"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3336357",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02513326",
            "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 Jul 27, 2007; 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.