Dekalb Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

027818 Issued in NY

Legal business name

DEKALB DRUGS INC

Practice address

173 Marcus Garvey Blvd
Brooklyn, NY 11221-1408

Phone

(718) 249-0670

Fax

(718) 249-0639

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Sreenivas Akula

Title

Owner

Phone

(718) 249-0670

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DEKALB DRUGS Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Wai Ching Lee, PHARM D

  • Pharmacist
  • Brooklyn, NY
  • NPI 1407085533
  NPD (past)
• Sunitha Talluri

  • Pharmacist
  • Brooklyn, NY
  • NPI 1730364597
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1477588093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 MARCUS GARVEY BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112211408",
            "telephone_number": "718-249-0670",
            "fax_number": "718-249-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 MARCUS GARVEY BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112211408",
            "telephone_number": "718-249-0670",
            "fax_number": "718-249-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKALB DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "AKULA",
        "authorized_official_first_name": "SREENIVAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-249-0670"
    },
    "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": "027818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02760736",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068207",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEKALB DRUGS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DEKALB DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ian Carlo Dejesus, PA
• Lady Paula Jose Dejesus, DPM
• Xarializ Autumn Dejesus
• Dejon Corp
• David M Dejong
• Dekalb Medical Group PC
• Dekalb OB/GYN P.L.L.C.
• Dekenes Rehabilitation PT PC
• Igor Dekhkanov, DDS
• Lyudmila Dekhovich, DO

• 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 Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.