South Side Pharmacy & Health Shop LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SOUTH SIDE PHARMACY & HEALTH SHOP LLC

Practice address

432 Bedford Ave
Brooklyn, NY 11249-6588

Phone

(718) 782-7200

Fax

(718) 782-7211

NPI assigned

Apr 4, 2016

Organization subpart

No

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

Authorized official

Name

Israel Schiff

Title

Owner

Phone

(718) 782-7200

Specialties & licenses 1

Addresses

Other names 1

• South Side Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

South Side Pharmacy Health2 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.

• South Side Pharmacy & Health Shop LLC

  • Long Term Care Pharmacy
  • Brooklyn, NY
  • NPI 1679383897
  NPD tax ID

Locations

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1427411776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112496588",
            "telephone_number": "718-782-7200",
            "fax_number": "718-782-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112496588",
            "telephone_number": "718-782-7200",
            "fax_number": "718-782-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SIDE PHARMACY & HEALTH SHOP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "SCHIFF",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-782-7200"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Side Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Side Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Brooklyn Radiology PLLC
• South Elliot South Portland Medical Comprehensive Medical Center
• South Shore Manor Home for Adults
• South Shore Osteopathic Medicine P.C.
• South Side Drugs Inc
• South Side Pharmacy & Health Shop LLC
• Suzan South-Hylton, LPN
• Austin South
• Briseida South
• Nicole Anita South

• 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 Dec 26, 2023; 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.