I.C. Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

I.C. PHARMACY LLC

Practice address

34 35TH St
Suite 4BSW, Mailbox 28
Brooklyn, NY 11232

Phone

(347) 554-2663

Fax

(347) 223-5966

NPI assigned

Aug 3, 2016

Organization subpart

No

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

Authorized official

Name

Tanvi Jayanti Patel

Title

Vice President

Phone

(855) 745-5725

Specialties & licenses 1

Addresses

Other names 1

• Amazon Pharmacy #004 Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pillpack LLC

  • Community/Retail Pharmacy
  • Manchester, NH
  • NPI 1821438862

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1649723909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 35TH ST STE 4BSW",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322021",
            "telephone_number": "855-745-5725",
            "fax_number": "603-935-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 35TH ST",
            "address_2": "SUITE 4BSW, MAILBOX 28",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11232",
            "telephone_number": "347-554-2663",
            "fax_number": "347-223-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I.C. PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TANVI",
        "authorized_official_middle_name": "JAYANTI",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "855-745-5725"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amazon Pharmacy #004",
            "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 May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.