Starrett City Pharmacy, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

STARRETT CITY PHARMACY, LLC

Practice address

1110 Pennsylvania Ave Ste 12
Brooklyn, NY 11207-9061

Phone

(718) 257-8777

NPI assigned

Apr 10, 2025

Organization subpart

Yes

Parent organization

STARRETT CITY PHARMACY, LLCAs reported in NPPES

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

Authorized official

Name

Igor VaysbaumNPI 1154653293

Title

Partner

Phone

(718) 257-8777

Specialties & licenses 1

Addresses

Other names 1

• starrett city pharmacy LTC Doing business as

Tax ID family

Starrett City Pharmacy LLC2 organizations share this tax ID, including this one

Part of

Starrett City Pharmacy LLC

Other organizations with this tax ID 1

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

• Starrett City Pharmacy, LLC

  • Pharmacy
  • Brooklyn, NY
  • NPI 1033108311
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Starrett City Pharmacy, LLC

  • Pharmacy
  • Brooklyn, NY
  • NPI 1033108311
  NPPES parent name

Practitioners 1

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

• Igor Vaysbaum, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1154653293
  NPD Authorized official

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1487449526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 PENNSYLVANIA AVE STE 12",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112079061",
            "telephone_number": "718-257-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 PENNSYLVANIA AVE STE 12",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112079061",
            "telephone_number": "718-257-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARRETT CITY PHARMACY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STARRETT CITY PHARMACY, LLC",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "VAYSBAUM",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-257-8777"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "starrett city pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Jane Starr, CCC-SLP
• Starrett City Dental Group
• Starrett City Dental Group Associates, PC
• Starrett City Medical of New York LLC
• Starrett City Pharmacy, LLC
• Starrett Podiatry, LLC
• Stars Dental
• Stars Dental P.C.
• Stars Dental P.C.
• Stars Dental P.C.

• Long Term Care Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.