Phillips Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

032681 Issued in NY

Legal business name

PHILLIPS PHARMACY INC

Doing business as

phillips pharmacy inc

Practice address

3921 9TH Ave
Brooklyn, NY 11232-3207

Phone

(718) 435-7790

Fax

(718) 871-8020

NPI assigned

Dec 9, 2013

Organization subpart

No

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

Authorized official

Name

Eugene Ha

Title

President

Phone

(917) 843-8269

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• phillips pharmacy inc Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1497186910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 9TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112323207",
            "telephone_number": "718-435-7790",
            "fax_number": "718-871-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 9TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112323207",
            "telephone_number": "718-435-7790",
            "fax_number": "718-871-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-843-8269"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "032681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145804",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03870537",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "phillips pharmacy inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zenae Phillip, PMHNP
• Kristine Philliponi
• Jennae Phillippe
• Phillips Pharmacy
• Phillips Pharmacy Inc
• Veronica Phillips-Nickey
• Allison Phillips
• Ardissa Lianda Phillips, OTR/L
• Ariel Phillips
• Bonald Theus Phillips, M.D.

• Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.