Organization Active NPI

Careway RX Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1619335528
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CAREWAY RX INC
Practice address
1174 Flatbush Ave
Brooklyn, NY 11226-7005
Phone
(718) 483-8743
Fax
(718) 483-8752
NPI assigned
Feb 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Liliya Davydova
Title
Supervising Pharmacist/Manager
Phone
(718) 483-8743

Specialties & licenses 1

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

Addresses

Primary practice location

1174 Flatbush Ave
Brooklyn, NY 11226-7005

Mailing address

1174 Flatbush Ave
Brooklyn, NY 11226-7005
Phone (718) 483-8743

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160923001856 NY DME Supplier - Pharmacy 7810284544 Practice locations: Brooklyn, NY
O20210113002752 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7810284544 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1174 Flatbush Ave
Brooklyn, NY 11226
Phone (718) 483-8743

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1619335528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267005",
            "telephone_number": "718-483-8743",
            "fax_number": "718-483-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267005",
            "telephone_number": "718-483-8743",
            "fax_number": "718-483-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREWAY RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "DAVYDOVA",
        "authorized_official_first_name": "LILIYA",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST/MANAGER",
        "authorized_official_telephone_number": "718-483-8743"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "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 Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.