Brighton 11TH Pharmacy Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

047113 Issued in NY

Legal business name

BRIGHTON 11TH PHARMACY INC.

Practice address

124 Brighton 11TH St
Brooklyn, NY 11235-5375

Phone

(718) 934-0022

Fax

(718) 934-1383

NPI assigned

Oct 9, 2006

Last updated

Mar 7, 2023By 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. Michael Savkub, RPHNPI 1093972242

Title

Supervising RPH Cfo

Phone

(718) 934-0022

Specialties & licenses 2

Addresses

Other identifiers 2

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

Practitioners 2

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.

• Michael Savkub, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1093972242
  NPD (past) Authorized official
• Olga Aleshintsev, PHARMD

  • Pharmacist
  • Brooklyn, NY
  • NPI 1750778825
  NPD (past)

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1528155777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 BRIGHTON 11TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355375",
            "telephone_number": "718-934-0022",
            "fax_number": "718-934-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 BRIGHTON 11TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355375",
            "telephone_number": "718-934-0022",
            "fax_number": "718-934-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTON 11TH PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SAVKUB",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SUPERVISING RPH CFO",
        "authorized_official_telephone_number": "718-934-0022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "047113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02513275",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3336333",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.