121 Central Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

036034 Issued in NY

Legal business name

121 CENTRAL PHARMACY CORP

Practice address

121 Kent Ave
Brooklyn, NY 11249-2993

Phone

(929) 397-0331

Fax

(929) 397-0332

NPI assigned

Feb 1, 2018

Organization subpart

No

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

Authorized official

Name

Jordana Siegel

Title

President

Phone

(516) 884-6824

Specialties & licenses 1

Addresses

Other names 1

• Central Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzanna Aulova, PHARM D

  • Pharmacist
  • Far Rockaway, NY
  • NPI 1821630864
  NPD (past)

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1609375930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 KENT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112492993",
            "telephone_number": "929-397-0331",
            "fax_number": "929-397-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 KENT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112492993",
            "telephone_number": "929-397-0331",
            "fax_number": "929-397-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "121 CENTRAL PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "JORDANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-884-6824"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "036034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Feb 1, 2018; 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.