Organization Active NPI

Pharmacy at the Wave Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1619419025
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
035052 Issued in NY
Legal business name
PHARMACY AT THE WAVE INC
Practice address
104 W End Ave
Brooklyn, NY 11235-4952
Phone
(718) 891-4300
Fax
(718) 891-0009
NPI assigned
Nov 16, 2016
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Mark Shprinzes, RPHNPI 1083937544
Title
Pres
Phone
(718) 891-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 035052 NY Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

104 W End Ave
Brooklyn, NY 11235-4952

Mailing address

104 W End Ave
Brooklyn, NY 11235-4952
Phone (718) 891-4300

Other identifiers 1

IdentifierTypeStateIssuer
2166714OtherPK

Other names 1

  • Pharmacy At The Wave Inc Former legal business name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170522002373 NY DME Supplier - Pharmacy 9436426491 Practice locations: Brooklyn, NY
O20181203001713 NY Part B Supplier - Mass Immunization (Roster Biller Only) 9436426491 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
Pharmacy at the Wave Inc104 W End Ave, Brooklyn, NY 11235-4952(718) 891-4300 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Oct 1, 2018

National Provider Directory

National Provider Directory

Locations

104 W End Ave
Brooklyn, NY 11235
Phone (718) 891-4300

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": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1619419025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W END AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354952",
            "telephone_number": "718-891-4300",
            "fax_number": "718-891-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W END AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354952",
            "telephone_number": "718-891-4300",
            "fax_number": "718-891-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY AT THE WAVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2025-09-02",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "SHPRINZES",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "718-891-4300",
        "authorized_official_credential": "RPH"
    },
    "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": "035052",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166714",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy At The Wave Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 2, 2025; 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.