Light Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

033784 Issued in NY

Legal business name

LIGHT PHARMACY INC

Doing business as

Light Pharmacy, Inc.

Practice address

319 Avenue X
Brooklyn, NY 11223-5933

Phone

(718) 872-7668

Fax

(718) 872-7660

NPI assigned

Jul 27, 2015

Organization subpart

No

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

Authorized official

Name

Svetlana KanaevaNPI 1427281500

Title

President

Phone

(718) 872-7668

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Light Pharmacy, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 2

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

• Svetlana Kanaeva, PHARMD

  • Pharmacist
  • Brooklyn, NY
  • NPI 1427281500
  NPD Authorized official
• Lyubov Erenburg, DR.

  • Pharmacist
  • Brooklyn, NY
  • NPI 1013231323
  NPD

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1649655044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235933",
            "telephone_number": "718-872-7668",
            "fax_number": "718-872-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235933",
            "telephone_number": "718-872-7668",
            "fax_number": "718-872-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "KANAEVA",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-872-7668"
    },
    "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": "033784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153418",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Light Pharmacy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Liggins
• Light & Love Home
• Light 101, Inc
• Light 101, Inc.
• Light Health Consulting
• Light Touch Dental PC
• Light Up Skies LLC
• Carolyn A Light, LCAT, RDT
• Jacob Light, DO
• Michelle Tova Light, SLP

• 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 Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.