Branac Ny LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BRANAC NY LLC

Doing business as

Coney Island Pharmacy

Practice address

2720 Mermaid Ave
Brooklyn, NY 11224-2006

Phone

(718) 333-2525

Fax

(718) 333-0955

NPI assigned

Sep 20, 2006

Last updated

Oct 4, 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

Erica MoiseyevNPI 1306126156

Title

Pic

Phone

(718) 333-2525

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• CONEY ISLAND PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Branac Ny LLC

  dba Coney Island Pharmacy

  • Long Term Care Pharmacy
  • Brooklyn, NY
  • NPI 1548874472

  2365851425

  Same PAC ID

Tax ID family

Branac Ny LLC2 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.

• Branac Ny LLC

  dba Coney Island Pharmacy

  • Long Term Care Pharmacy
  • Brooklyn, NY
  • NPI 1548874472
  NPD tax ID

Practitioners 5

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.

• Erica Moiseyev

  • Pharmacist
  • Brooklyn, NY
  • NPI 1306126156
  NPD (past) Authorized official
• Elan Katz

  • Pharmacist
  • Brooklyn, NY
  • NPI 1427286202
  NPD
• Alesia Khafizova

  • Pharmacist
  • Brooklyn, NY
  • NPI 1922552033
  NPD (past)
• Jenny Seeram, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1124296892
  NPD (past)
• Vitaly Tokar, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1417116872
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1568569499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 SURF AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242810",
            "telephone_number": "212-249-8202",
            "fax_number": "917-722-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242006",
            "telephone_number": "718-333-2525",
            "fax_number": "718-333-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANAC NY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "MOISEYEV",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "718-333-2525"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02091532",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "038236",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2062608",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONEY ISLAND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CONEY ISLAND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marlene Shantel Bramble
• Nicole M Bramble
• Rebecca Brammer-Shlay, PMHNP
• Yelyzaveta Bramurova, RPH
• Branac Ny LLC (Coney Island Pharmacy)
• Ronald Brancaccio
• Branch of Life Acupuncturepllc
• Branch Out Licensed Behavior Analysts, PLLC
• Allison Casta Branch, PHD
• Romain R Branch, M.D

• 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 Oct 4, 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.