Corner Pharmacy Woodhull LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CORNER PHARMACY WOODHULL LLC

Doing business as

Corner Pharmacy

Practice address

800 Broadway
Brooklyn, NY 11206-5316

Phone

(718) 400-2400

NPI assigned

Nov 10, 2023

Last updated

Nov 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jitendra Patel, RPH

Title

Director

Phone

(718) 400-2400

Specialties & licenses 1

Addresses

Other names 1

• CORNER PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1437923356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065316",
            "telephone_number": "718-400-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER PHARMACY WOODHULL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JITENDRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-400-2400",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORNER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.