Organization Active NPI

Ridge Ez Pharmacy Inc. LTC

  • Long Term Care Pharmacy
  • Brooklyn, NY
National Provider Identifier
1447060090
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
RIDGE EZ PHARMACY INC. LTC
Doing business as
RIDGE EZ PHARMACY LTC
Practice address
6923 4TH Ave
Brooklyn, NY 11209-1501
Phone
(347) 806-6772
NPI assigned
Jan 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Amrr S BahloolNPI 1922685155
Title
Owner
Phone
(347) 806-6772

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

6923 4TH Ave
Brooklyn, NY 11209-1501

Mailing address

6923 4TH Ave
Brooklyn, NY 11209-1501
Phone (347) 806-6772

Other names 1

  • RIDGE EZ PHARMACY LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ridge Ez Pharmacy Inc2 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.

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": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1447060090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6923 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091501",
            "telephone_number": "347-806-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6923 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091501",
            "telephone_number": "347-806-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE EZ PHARMACY INC. LTC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "BAHLOOL",
        "authorized_official_first_name": "AMRR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-806-6772"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIDGE EZ PHARMACY LTC",
            "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 Jan 7, 2025; 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.