Staff Medical Supply Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

008811 Issued in NY

Legal business name

STAFF MEDICAL SUPPLY INC

Practice address

327 Empire Blvd
Brooklyn, NY 11225-3514

Phone

(718) 774-3311

Fax

(718) 467-0741

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Leonardo Bambina, PHARMACIST

Title

Owner / President

Phone

(718) 774-3311

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jacoffs Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1578628871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250845",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253514",
            "telephone_number": "718-774-3311",
            "fax_number": "718-467-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 EMPIRE BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253514",
            "telephone_number": "718-774-3311",
            "fax_number": "718-467-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFF MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2023-08-24",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "BAMBINA",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "718-774-3311",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "008811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00261656",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacoffs Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jacoffs Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Stack
• Lisamarie Lyn Stackpole, CASAC-T, LMSW
• Ebonie Stacy
• Elizabeth Grayson Stadler, LMSW
• Rosanne Stadnik, LCSW
• Staff Medical Supply Inc
• Stafford OT, PLLC
• Katherine Wilbanks Stafford, CCC-SLP
• Aviva Stahl, RN
• Jamie Stahl

• 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 Aug 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.