Organization Active NPI

Island Express Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1447539085
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
030895 Issued in NY
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Authorized official

Name
Baldeo HarinandanNPI 1477733020
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5803639OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • island express pharmacy inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

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

SupplierSuppliesMedicare assignment
Island Express Pharmacy Inc1335 Flatbush Ave, Brooklyn, NY 11226-7669(347) 533-4606 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jan 5, 2012

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.