Organization Active NPI

Rubino Pharmacy

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1659356863
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2491 Issued in NY
Legal business name
RUBINO PHARMACY
Practice address
6602 17TH Ave
Brooklyn, NY 11204-4303
Phone
(718) 256-5052
NPI assigned
Dec 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nicholas Rubino
Title
Owner
Phone
(718) 256-5052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2491 NY Primary

Addresses

Primary practice location

6602 17TH Ave
Brooklyn, NY 11204-4303

Mailing address

6602 17TH Ave
Brooklyn, NY 11204-4303
Phone (718) 256-5052

Other identifiers 2

IdentifierTypeStateIssuer
00268020MedicaidNY
3309831OtherNCDCP

National Provider Directory

National Provider Directory

Locations

6602 17th Ave
Brooklyn, NY 11204
Phone (718) 256-5052

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659356863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6602 17TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044303",
            "telephone_number": "718-256-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 17TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044303",
            "telephone_number": "718-256-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBINO PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBINO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-256-5052"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "2491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00268020",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCDCP",
            "identifier": "3309831",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.