Organization Active NPI

FMRG Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1467597229
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
026311 Issued in NY
Legal business name
FMRG PHARMACY INC
Practice address
433 Kings Hwy
Brooklyn, NY 11223-1718
Phone
(718) 336-3355
Fax
(718) 336-3354
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Authorized official

Name
Dimitriy Gelfand
Title
Supervising Pharmacist
Phone
(718) 336-3355

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 026311 NY Primary

Addresses

Primary practice location

433 Kings Hwy
Brooklyn, NY 11223-1718

Mailing address

433 Kings Hwy
Brooklyn, NY 11223-1718
Phone (718) 336-3355

Other identifiers 2

IdentifierTypeStateIssuer
02496028MedicaidNY
3328235OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • KINGS CARE PHARMACY Doing business as

National Provider Directory

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1467597229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231718",
            "telephone_number": "718-336-3355",
            "fax_number": "718-336-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231718",
            "telephone_number": "718-336-3355",
            "fax_number": "718-336-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMRG PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "GELFAND",
        "authorized_official_first_name": "DIMITRIY",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-336-3355"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02496028",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3328235",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINGS CARE PHARMACY",
            "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 Feb 9, 2012; 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.