Organization Active NPI

SV Wellness Pharmacy Inc.

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1568942860
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
036795 Issued in NY
Legal business name
SV WELLNESS PHARMACY INC.
Practice address
2173C 68TH Street
Ground Floor
Brooklyn, NY 11204-4733
Phone
(718) 975-0530
Fax
(718) 975-0531
NPI assigned
Aug 16, 2018
Last updated
Aug 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Bei Vivien GuoNPI 1164754776
Title
President
Phone
(718) 975-0530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 036795 NY Primary

Addresses

Primary practice location

2173C 68TH Street
Ground Floor
Brooklyn, NY 11204-4733

Mailing address

2173C 68TH Street
Ground Floor
Brooklyn, NY 11204-4733
Phone (718) 975-0530

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181101001546 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2567715956 Practice locations: Brooklyn, NY
O20181214000100 NY DME Supplier - Pharmacy 2567715956 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2263243SV Wellness Pharmacy Inc2173C 68TH St, Brooklyn, NY 11204Certificate of waiverMar 26, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
SV Wellness Pharmacy Inc2173C 68TH Street Ground Floor, Brooklyn, NY 11204-4733(718) 975-0530 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs… Does not accept assignmentParticipating since Aug 10, 2018

National Provider Directory

National Provider Directory

Locations

2173 68th St
#C
Brooklyn, NY 11204
Phone (718) 975-0530

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1568942860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2173C 68TH STREET",
            "address_2": "GROUND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044733",
            "telephone_number": "718-975-0530",
            "fax_number": "718-975-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2173C 68TH STREET",
            "address_2": "GROUND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044733",
            "telephone_number": "718-975-0530",
            "fax_number": "718-975-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SV WELLNESS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "BEI",
        "authorized_official_middle_name": "VIVIEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-975-0530"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "036795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 2, 2022; 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.