Organization Active NPI

Funmilayo Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1629139795
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
021071 Issued in NY
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

Updated by the provider on Nov 29, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01282640MedicaidNY
2067102OtherPK

Other names 1

  • CATON CHEMISTS Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.