Active NPI
Bbrx1Llc
- Community/Retail Pharmacy
- New York, NY
National Provider Identifier
1477573806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 026501
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02516498 | Medicaid | NY |
Other names 1
- cherrys pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180720000912 | NY | DME Supplier - Pharmacy | 0446507552 | Practice locations: New York, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Bbrx1Llc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacist
- New York, NY
- NPI 1790168862
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.
-
- Pharmacist
- New York, NY
- NPI 1558684308
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.