Organization Active NPI

Bbrx1Llc

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1477573806
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
026501 Issued in NY
Legal business name
BBRX1LLC
Practice address
207 E 66TH St
New York, NY 10021-6401
Phone
(212) 717-7797
Fax
(212) 717-7566
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William Brownstein, RPH
Title
Owner
Phone
(212) 717-7797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 026501 NY Primary

Addresses

Primary practice location

207 E 66TH St
New York, NY 10021-6401

Mailing address

207 E 66TH St
New York, NY 10021-6401
Phone (212) 717-7797

Other identifiers 1

IdentifierTypeStateIssuer
02516498MedicaidNY

Other names 1

  • cherrys pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180720000912 NY DME Supplier - Pharmacy 0446507552 Practice locations: New York, NY

National Provider Directory

National Provider Directory
Tax ID family
Bbrx1Llc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

207 E 66th St
New York, NY 10065
Phone (212) 717-7797

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": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477573806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E 66TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100216401",
            "telephone_number": "212-717-7797",
            "fax_number": "212-717-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E 66TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100216401",
            "telephone_number": "212-717-7797",
            "fax_number": "212-717-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BBRX1LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWNSTEIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-717-7797",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02516498",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cherrys pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.