Organization Active NPI

Full Healthcare Pharmacy, Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1609113885
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031670 Issued in NY
Legal business name
FULL HEALTHCARE PHARMACY, INC
Practice address
4624 7TH Ave
Brooklyn, NY 11220-1413
Phone
(347) 599-1088
Fax
(347) 599-0892
NPI assigned
Jan 9, 2013
Last updated
Feb 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Authorized official

Name
Mr. Hok Doon John Au
Title
President
Phone
(347) 599-1088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 031670 NY Primary

Addresses

Primary practice location

4624 7TH Ave
Brooklyn, NY 11220-1413

Mailing address

4624 7TH Ave
Brooklyn, NY 11220-1413
Phone (347) 599-1088

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130417000199 NY DME Supplier - Pharmacy 0042456097 Practice locations: Brooklyn, NY
O20230816001313 NY Part B Supplier - Pharmacy 0042456097 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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Full Healthcare Pharmacy Inc4624 7TH Ave, Brooklyn, NY 11220-1413(347) 599-1088 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Mar 4, 2013

National Provider Directory

National Provider Directory

Locations

4624 7th Ave
Brooklyn, NY 11220
Phone (347) 599-1088

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": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1609113885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201413",
            "telephone_number": "347-599-1088",
            "fax_number": "347-599-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201413",
            "telephone_number": "347-599-1088",
            "fax_number": "347-599-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL HEALTHCARE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "AU",
        "authorized_official_first_name": "HOK DOON JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-599-1088",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031670",
            "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 Feb 11, 2019; 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.