Packedmed LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PACKEDMED LLC

Practice address

4604 Avenue N
Brooklyn, NY 11234-3615

Phone

(347) 374-6964

NPI assigned

Mar 13, 2023

Organization subpart

No

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

Authorized official

Name

Nidal AdamNPI 1457941866

Title

Owner

Phone

(917) 215-3055

Specialties & licenses 1

Addresses

Other names 1

• Avenue N Market Doing business as

Practitioners 1

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

• Nidal M Adam, PHARMACIST

  • Pharmacist
  • Brooklyn, NY
  • NPI 1457941866
  NPD (past) Authorized official

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1619678216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343615",
            "telephone_number": "347-374-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343615",
            "telephone_number": "347-374-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACKEDMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "ADAM",
        "authorized_official_first_name": "NIDAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-215-3055"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avenue N Market",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avenue N Market",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Pacifici
• Biagio Michael Pacifico, D.O.
• Christopher Pacifico
• Lauren Pack, LMSW
• Snanobia Pack, CPD,LMP,MEDICAL LMA
• Kaity Packer
• Saturine Packer, M.S. ED.
• Shoshana Packer
• Stefanie Packwood
• Sharon Pacuk, M.S. CCC-SLP

• Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.