Palm-Gate Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

014376 Issued in NY

Legal business name

PALM-GATE PHARMACY

Practice address

583 Knickerbocker Ave
Brooklyn, NY 11221-4742

Phone

(718) 381-6084

Fax

(718) 418-2263

NPI assigned

Nov 28, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Patricia R Johnson, RPH SP

Title

Sur Registered Pharmacist Supervisi

Phone

(718) 381-6084

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Gates-Palmetto Pharmacy Doing business as

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1528041175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 KNICKERBOCKER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112214742",
            "telephone_number": "718-381-6084",
            "fax_number": "718-418-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 KNICKERBOCKER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112214742",
            "telephone_number": "718-381-6084",
            "fax_number": "718-418-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM-GATE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SUR REGISTERED PHARMACIST SUPERVISI",
        "authorized_official_telephone_number": "718-381-6084",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH SP"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "014376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3326217",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00259334",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gates-Palmetto Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Joanna Palm, OTR/L
• Palma Pharmacy LTD
• Ethan Eliseo Palma
• Adam E. Palmer, L.AC
• Adina Palmer

• 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 Apr 29, 2008; 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.