Manhattan Beach Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

027503 Issued in NY

Legal business name

MANHATTAN BEACH PHARMACY INC

Doing business as

Manhattan Beach Pharmacy Inc

Practice address

1224 Avenue U
Brooklyn, NY 11229-4107

Phone

(718) 332-2210

Fax

(718) 332-5510

NPI assigned

May 20, 2006

Last updated

Nov 8, 2016By 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

Vladimir Vakser

Title

President

Phone

(718) 332-2210

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MANHATTAN BEACH PHARMACY INC Doing business as

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.

• Susana Shlomov, PHARM .D.

  • Pharmacist
  • Brooklyn, NY
  • NPI 1376884783
  NPD (past)
• Mirra Vaysman, MS.RPH.

  • Pharmacist
  • Brooklyn, NY
  • NPI 1487978490
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1558315002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294107",
            "telephone_number": "718-332-2210",
            "fax_number": "718-332-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294107",
            "telephone_number": "718-332-2210",
            "fax_number": "718-332-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN BEACH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "VAKSER",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-332-2210"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "027503",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02720932",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2066378",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANHATTAN BEACH PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Mangum, LCSW
• Manhattan Avenue Hearing AIDS, Inc
• Manhattan Beach Int Med PC
• Manhattan Beach Medical.P.C.
• Manhattan Beach OBGYN, P.C.
• Manhattan Integrative Gastroenterology
• Manhattan Medical BLDG.
• Manhattan Neurosurgical Assoc, PC
• Manhattan Neurosurgical Associates
• Manhattan OB/GYN Surgical Suites

• 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 8, 2016; 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.