Organization Active NPI

Brother RX Inc.

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1558059063
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BROTHER RX INC.
Practice address
4411 8TH Ave
Brooklyn, NY 11220-1513
Phone
(732) 799-5039
NPI assigned
Apr 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Authorized official

Name
Simiao Fan
Title
Owner
Phone
(732) 799-5039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4411 8TH Ave
Brooklyn, NY 11220-1513

Mailing address

4411 8TH Ave
Brooklyn, NY 11220-1513

Other names 1

  • Smile Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

4411 8th Ave
Brooklyn, NY 11220
Phone (718) 283-8225

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1558059063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201513",
            "telephone_number": "732-799-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHER RX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "FAN",
        "authorized_official_first_name": "SIMIAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-799-5039"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 24, 2023; 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.