Active NPI
Safety Drugs of Bensonhurst Inc
- Community/Retail Pharmacy
- Brooklyn, NY
National Provider Identifier
1497842694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SAFETY DRUGS OF BENSONHURST INC
- Practice address
- 6404 18TH Ave
Brooklyn, NY 11204-3729 - Phone
- (718) 236-5705
- Fax
- (718) 234-0961
- NPI assigned
- Oct 7, 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. Michael Petratos, RPH
- Title
- VP
- Phone
- (718) 236-5705
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X | |||
| Specialty Pharmacy | 3336S0011X | 017831 | NY |
Addresses
Primary practice location
6404 18TH Ave
Brooklyn, NY 11204-3729
Mailing address
6404 18TH Ave
Brooklyn, NY 11204-3729
Phone (718) 236-5705
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00782930 | Medicaid | NY | |
| 2061820 | Other | PK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930041274 | NY | DME Supplier - Pharmacy | 7911028543 | Practice locations: Brooklyn, NY |
| O20210519002446 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 7911028543 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider DirectoryLocations
6404 18th Ave
Brooklyn, NY 11204
Phone (718) 236-5705
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Brooklyn, NY
- NPI 1750603668
-
- Pharmacist
- Brooklyn, NY
- NPI 1013239920
-
- Pharmacist
- Brooklyn, NY
- NPI 1396060059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731628800000",
"number": "1497842694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6404 18TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112043729",
"telephone_number": "718-236-5705",
"fax_number": "718-234-0961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6404 18TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112043729",
"telephone_number": "718-236-5705",
"fax_number": "718-234-0961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFETY DRUGS OF BENSONHURST INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-07",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A",
"authorized_official_last_name": "PETRATOS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "718-236-5705",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "NY",
"license": "017831",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00782930",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2061820",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.