Active NPI
Island Express Pharmacy Inc
- Community/Retail Pharmacy
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 030895
- Legal business name
- ISLAND EXPRESS PHARMACY INC
- Doing business as
- island express pharmacy inc.
- Practice address
- 1335 Flatbush Ave
Brooklyn, NY 11226-7669 - Phone
- (347) 533-4606
- Fax
- (347) 533-4608
- NPI assigned
- Aug 14, 2011
- Last updated
- Sep 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Baldeo Harinandan
- Title
- Owner/Supervising Pharmacist
- Phone
- (347) 533-4606
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 030895 | NY | Primary |
Addresses
Primary practice location
1335 Flatbush Ave
Brooklyn, NY 11226-7669
Mailing address
1335 Flatbush Ave
Brooklyn, NY 11226-7669
Phone (347) 533-4606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5803639 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- island express pharmacy inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120105000389 | NY | DME Supplier - Pharmacy | 6204002728 | Practice locations: Brooklyn, NY |
| O20210405001997 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 6204002728 | Practice locations: Brooklyn, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Island Express Pharmacy Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
1347 Flatbush Ave
Brooklyn, NY 11210
Phone (347) 533-4606
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Bronx, NY
- NPI 1477733020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599177600000",
"number": "1447539085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 FLATBUSH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112267669",
"telephone_number": "347-533-4606",
"fax_number": "347-533-4608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 FLATBUSH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112267669",
"telephone_number": "347-533-4606",
"fax_number": "347-533-4608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLAND EXPRESS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-14",
"last_updated": "2020-09-04",
"certification_date": "2020-08-20",
"status": "A",
"authorized_official_last_name": "HARINANDAN",
"authorized_official_first_name": "BALDEO",
"authorized_official_title_or_position": "OWNER/SUPERVISING PHARMACIST",
"authorized_official_telephone_number": "347-533-4606"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "030895",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "5803639",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "island express pharmacy inc.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "island express pharmacy inc.",
"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 Sep 4, 2020; 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.