Individual provider Active NPI

Keith Diamond, R.PH., C.PED

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1619117785
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
034707 Issued in NY
Practice address
2064 Flatbush Ave
Brooklyn, NY 11234-4314
Phone
(718) 377-4900
Fax
(718) 253-1568
NPI assigned
Mar 2, 2009
Last updated
Mar 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 034707 NY Primary

Addresses

Primary practice location

2064 Flatbush Ave
Brooklyn, NY 11234-4314

Mailing address

2064 Flatbush Ave
Brooklyn, NY 11234-4314
Phone (718) 377-4900

Other identifiers 3

IdentifierTypeStateIssuer
034707OtherNYSTATE BOARD OF PHARMACY LICENSE
9912OtherCERTIFIED PEDORTHIST
CFO00361OtherCERTIFIED FITTER - ORTHOTICS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
034707NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Pharmacy Solutions Inc Current Accepting new patients
Family Pharmacy Solutions Inc Current Accepting new patients
K. Diamond Pharmacy. Inc PastSince Aug 11, 2019 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235952000000",
    "number": "1619117785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2064 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344314",
            "telephone_number": "718-377-4900",
            "fax_number": "718-253-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2064 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344314",
            "telephone_number": "718-377-4900",
            "fax_number": "718-253-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "R.PH., C.PED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "034707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY LICENSE",
            "identifier": "034707",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED PEDORTHIST",
            "identifier": "9912",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED FITTER - ORTHOTICS",
            "identifier": "CFO00361",
            "state": null
        }
    ],
    "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 Mar 2, 2009; 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.