NPIMap

Organization Active NPI

Forest Pharmacy LLC

Doing business as Forest Pharmacy

  • Community/Retail Pharmacy
  • Staten Island, NY
National Provider Identifier
1588956262
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
030699 Issued in NY
Legal business name
FOREST PHARMACY LLC
Doing business as
Forest Pharmacy
Practice address
2236 Forest Ave Ste 5
Staten Island, NY 10303-1714
Phone
(718) 447-5900
Fax
(718) 447-5902
NPI assigned
May 12, 2011
Last updated
Oct 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Darshankumar BhattNPI 1528290012
Title
Supervising Pharmacist / Membe
Phone
(718) 447-5900

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 030699 NY Primary

Addresses

Primary practice location

2236 Forest Ave Ste 5
Staten Island, NY 10303-1714

Mailing address

2236 Forest Ave
Suite # 5
Staten Island, NY 10303-1747
Phone (718) 447-5900

Other identifiers 2

IdentifierTypeStateIssuer
03397495MedicaidNY
2130333OtherPK

Other names 1

  • FOREST PHARMACY Doing business as

National Provider Directory

National Provider Directory

Member of 4

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2236 Forest Ave
Ste 5
Staten Island, NY 10303
Phone (718) 447-5900

2236 Forest Ave
Ste NO5
Staten Island, NY 10303
Phone (718) 447-5900

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": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1588956262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 FOREST AVE",
            "address_2": "SUITE # 5",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031747",
            "telephone_number": "718-447-5900",
            "fax_number": "718-447-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 FOREST AVE STE 5",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031714",
            "telephone_number": "718-447-5900",
            "fax_number": "718-447-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "DARSHANKUMAR",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST / MEMBE",
        "authorized_official_telephone_number": "718-447-5900"
    },
    "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": "030699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03397495",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130333",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOREST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.