Cityline Pharmacy Corp.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CITYLINE PHARMACY CORP.

Doing business as

Cityline Pharmacy

Practice address

511 Cortelyou Rd
Brooklyn, NY 11218-4604

Phone

(718) 940-0310

Fax

(718) 940-0321

NPI assigned

Jan 6, 2007

Last updated

Nov 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Demarco

Title

President

Phone

(516) 451-7387

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Cityline Pharmacy 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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Irina Ostrovsky, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1316262207
  NPD (past)

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1528116704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 CORTELYOU RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184604",
            "telephone_number": "718-940-0310",
            "fax_number": "718-940-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 CORTELYOU RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184604",
            "telephone_number": "718-940-0310",
            "fax_number": "718-940-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYLINE PHARMACY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-06",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-451-7387",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3331155",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02382483",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cityline Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cityline Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Citywide Dental Care PC (Marine Park Dental)
• Arunas Jonas Ciuberkis, CCC, SLP
• Stacey Cius
• Kelsey Deraffele Civetta, MSW

• 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 Nov 4, 2021; 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.