Aegis Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

034363 Issued in NY

Legal business name

AEGIS PHARMACY INC

Practice address

5425 Flatlands Ave
Brooklyn, NY 11234-2405

Phone

(718) 444-5425

Fax

(718) 251-1648

NPI assigned

Mar 29, 2016

Organization subpart

No

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

Authorized official

Name

Asher Alam

Title

President

Phone

(718) 444-5425

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Aegis Pharmacy Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ilios Guma, R.PH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1760931885
  NPD (past)
• Daniela Valencia, DOCTORATE PHARMACY

  • Pharmacist
  • Brooklyn, NY
  • NPI 1336680487
  NPD (past)

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1447613385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342405",
            "telephone_number": "718-444-5425",
            "fax_number": "718-251-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342405",
            "telephone_number": "718-444-5425",
            "fax_number": "718-251-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "ALAM",
        "authorized_official_first_name": "ASHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-444-5425"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "034363",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159452",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aegis Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.