Active NPI
Funmilayo Pharmacy Inc
- Community/Retail Pharmacy
- Brooklyn, NY
National Provider Identifier
1629139795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 021071
- Legal business name
- FUNMILAYO PHARMACY INC
- Doing business as
- CATON CHEMISTS
- Practice address
- 1563 Ralph Ave
Brooklyn, NY 11236-3127 - Phone
- (718) 853-1110
- Fax
- (718) 853-1717
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pat Idowu
- Title
- Manager
- Phone
- (718) 853-1110
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 021071 | NY | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
1563 Ralph Ave
Brooklyn, NY 11236-3127
Mailing address
1563 Ralph Ave
Brooklyn, NY 11236-3127
Phone (718) 853-1110
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01282640 | Medicaid | NY | |
| 2067102 | Other | PK |
Other names 1
- CATON CHEMISTS
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480377600000",
"number": "1629139795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1563 RALPH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112363127",
"telephone_number": "718-853-1110",
"fax_number": "718-853-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1563 RALPH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112363127",
"telephone_number": "718-853-1110",
"fax_number": "718-853-1717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUNMILAYO PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2016-11-29",
"status": "A",
"authorized_official_last_name": "IDOWU",
"authorized_official_first_name": "PAT",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "718-853-1110"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "021071",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01282640",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2067102",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CATON CHEMISTS",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 29, 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.