Irving Pharmacy Corp.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029427 Issued in NY

Legal business name

IRVING PHARMACY CORP.

Practice address

118 Wyckoff Ave
Brooklyn, NY 11237-8069

Phone

(718) 484-8510

Fax

(718) 484-8508

NPI assigned

Apr 22, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jitendra Patel

Title

Officer

Phone

(718) 848-1120

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• IRVING PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

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

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1659515583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 WYCKOFF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112378069",
            "telephone_number": "718-484-8510",
            "fax_number": "718-484-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 WYCKOFF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112378069",
            "telephone_number": "718-484-8510",
            "fax_number": "718-484-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVING PHARMACY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JITENDRA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "718-848-1120",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03111442",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IRVING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shallynie Irsay
• Kaniz A Irtaza, R.PH
• Claudia Cecilia Irusta Vera
• Irving Friedman MD PLLC
• Irving G. Kroop,M.D.
• Aquina Irving-Brantley, FNP-BC
• Pauline Federeika Irving, LPN.
• Irvington Healthcare Providers LLC
• Irwin Goldschein DDS PC
• Irwin Kolin, DDS

• 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 6, 2024; 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.