Elmont Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030157 Issued in NY

Legal business name

ELMONT PHARMACY INC

Practice address

1604 Fulton St
Brooklyn, NY 11213-1124

Phone

(718) 467-7000

Fax

(718) 467-7002

NPI assigned

Apr 16, 2010

Organization subpart

No

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

Authorized official

Name

Chioma Barrah

Title

President

Phone

(718) 869-9559

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Care Mart Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1447576368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13046 LAURELTON PKWY",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114221219",
            "telephone_number": "718-869-9559",
            "fax_number": "718-467-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131124",
            "telephone_number": "718-467-7000",
            "fax_number": "718-467-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMONT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-16",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "BARRAH",
        "authorized_official_first_name": "CHIOMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-869-9559"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030157",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126430",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3274215",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Mart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Modise Elmine-Dautruche, MSN,NP
• Alourdes Elmine, RDH
• Lillian Elmirs, LMSW
• Ebrahim Elmohsen, DPT
• Elmont Imaging & Diagnostic
• Lauralee Elmore
• Abdelouahed Elmouchtari, M.D.
• Mehdi Elmouchtari, MD
• Elmy'S Special Services Inc.
• Elmy'S Special Services, Inc

• 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 Aug 1, 2014; 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.