Colonial Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

021573 Issued in NY

Legal business name

COLONIAL PHARMACY INC

Practice address

9920-4TH Avenue
Brooklyn, NY 11209

Phone

(718) 238-1445

Fax

(718) 238-0856

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

John DenaroNPI 1710049895

Title

President

Phone

(718) 238-1445

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• John Denaro, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1710049895
  NPD (past) Authorized official
• Dimitrios A Ilaridis, RPH

  • Pharmacist
  • Staten Island, NY
  • NPI 1659585909
  NPD

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1629285598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098333",
            "telephone_number": "718-238-1445",
            "fax_number": "718-238-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920-4TH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11209",
            "telephone_number": "718-238-1445",
            "fax_number": "718-238-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "DENARO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-238-1445"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "021573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02551908",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Colon
• Rochelle Colon, L.C.S.W.
• Sergio Colon
• Vanessa Ivellis Colon
• Yennis Colon
• Colorectal Care PLLC
• James Lee Colter, LCSW
• Ruchama Deena Colton
• Edward Colucci, RPA-C
• Nicole Marie Colucci, PA-C

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.