The Polish American Pharmacy of Greenpoint Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

020294 Issued in NY

Legal business name

THE POLISH AMERICAN PHARMACY OF GREENPOINT INC.

Practice address

566 Leonard St.
Brooklyn, NY 11222

Phone

(718) 389-1500

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Sophie MezynskaNPI 1952694390

Title

Pharmacist

Phone

(718) 389-1500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Polish American Pharmacy Doing business as

Practitioners 3

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

• Sophie Mezynska, RPH.

  • Pharmacist
  • Brooklyn, NY
  • NPI 1952694390
  NPD (past) Authorized official
• Ted Karl Mitko, R.PH.

  • Pharmacist
  • Brooklyn, NY
  • NPI 1437410693
  NPD (past)
• Daniel Staniszewski

  • Pharmacist
  • Ridgewood, NY
  • NPI 1699059600
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1639237993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 LEONARD ST.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11222",
            "telephone_number": "718-389-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 LEONARD ST.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11222",
            "telephone_number": "718-389-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE POLISH AMERICAN PHARMACY OF GREENPOINT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "MEZYNSKA",
        "authorized_official_first_name": "SOPHIE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-389-1500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "020294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01136694",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polish American Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Feb 26, 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.