Organization Active NPI

Linden Pharma Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1558508804
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029264 Issued in NY
Legal business name
LINDEN PHARMA INC
Practice address
1368 Linden Blvd
Brooklyn, NY 11212-4702
Phone
(718) 342-3131
Fax
(718) 569-0073
NPI assigned
Jan 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Nehalkumar Patel
Title
President
Phone
(718) 342-3131

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 029264 NY Primary

Addresses

Primary practice location

1368 Linden Blvd
Brooklyn, NY 11212-4702

Mailing address

1368 Linden Blvd
Brooklyn, NY 11212-4702
Phone (718) 342-3131

Other identifiers 2

IdentifierTypeStateIssuer
03056113MedicaidNY
2119271OtherPK

Other names 1

  • Linden Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930075001 NY DME Supplier - Pharmacy 8527258474 Practice locations: Brooklyn, NY
O20220407002204 NY Part B Supplier - Pharmacy 8527258474 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Tax ID family
Linden Pharma Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1368 Linden Blvd
Brooklyn, NY 11212
Phone (718) 342-3131

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1558508804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112124702",
            "telephone_number": "718-342-3131",
            "fax_number": "718-569-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112124702",
            "telephone_number": "718-342-3131",
            "fax_number": "718-569-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDEN PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NEHALKUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-342-3131"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03056113",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2119271",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linden 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 Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.