NPIMap

Organization Active NPI

Image Prescription Center LTC

Doing business as image prescription center

  • Long Term Care Pharmacy
  • Brooklyn, NY
National Provider Identifier
1437978129
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
IMAGE PRESCRIPTION CENTER LTC
Doing business as
image prescription center
Practice address
119 Church Ave
Brooklyn, NY 11218-3917
Phone
(718) 686-7343
Fax
(718) 686-7492
NPI assigned
Oct 9, 2024
Organization subpart
Yes
Parent organization
MBG PHARMACY CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Maksim Glezer, RPHNPI 1033157201
Title
President/Pic
Phone
(718) 686-7343

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
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

119 Church Ave
Brooklyn, NY 11218-3917

Mailing address

119 Church Ave
Brooklyn, NY 11218-3917
Phone (718) 686-7343

Other names 1

  • image prescription center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MBG Pharmacy Corp2 organizations share this tax ID, including this one
Part of
MBG Pharmacy Corp

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1437978129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183917",
            "telephone_number": "718-686-7343",
            "fax_number": "718-686-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183917",
            "telephone_number": "718-686-7343",
            "fax_number": "718-686-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE PRESCRIPTION CENTER LTC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MBG PHARMACY CORP",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "GLEZER",
        "authorized_official_first_name": "MAKSIM",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "718-686-7343",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "image prescription center",
            "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 Oct 9, 2024; 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.