Active NPI
Aldav Pharmacy, Inc
Doing business as Aldav Pharmacy
- Community/Retail Pharmacy
- Brooklyn, NY
National Provider Identifier
1659367415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 025466
- Legal business name
- ALDAV PHARMACY, INC
- Doing business as
- Aldav Pharmacy
- Practice address
- 749 Ocean Pkwy
Brooklyn, NY 11230-7813 - Phone
- (718) 724-2245
- Fax
- (718) 724-0975
- NPI assigned
- Sep 26, 2005
- Last updated
- Mar 13, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarra Fronshtein, RPH
- Title
- President
- Phone
- (718) 724-2245
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 025466 | NY | Primary |
Addresses
Primary practice location
749 Ocean Pkwy
Brooklyn, NY 11230-7813
Mailing address
749 Ocean Pkwy
Brooklyn, NY 11230-7813
Phone (718) 724-2245
Other names 1
- ALDAV PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930066828 | NY | DME Supplier - Pharmacy | 8820202583 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Aldav Pharmacy Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489363200000",
"number": "1659367415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "749 OCEAN PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112307813",
"telephone_number": "718-724-2245",
"fax_number": "718-724-0975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "749 OCEAN PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112307813",
"telephone_number": "718-724-2245",
"fax_number": "718-724-0975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALDAV PHARMACY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-26",
"last_updated": "2017-03-13",
"status": "A",
"authorized_official_last_name": "FRONSHTEIN",
"authorized_official_first_name": "SARRA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-724-2245",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "025466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ALDAV PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}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 Mar 13, 2017; 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.