786 FM Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

034412 Issued in NY

Legal business name

786 FM CORP

Doing business as

canarsie plaza pharmacy

Practice address

8721 Flatlands Ave
Brooklyn, NY 11236-3609

Phone

(718) 257-2344

Fax

(718) 257-2364

NPI assigned

Sep 12, 2015

Last updated

Jun 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Faisal Mushtaq

Title

President

Phone

(718) 257-2344

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• canarsie plaza pharmacy Doing business as

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

{
    "created_epoch": "1442016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1619345287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8721 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363609",
            "telephone_number": "718-257-2344",
            "fax_number": "718-257-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8721 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363609",
            "telephone_number": "718-257-2344",
            "fax_number": "718-257-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "786 FM CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-12",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "MUSHTAQ",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-257-2344"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158969",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "canarsie plaza pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.