Organization Active NPI

Brooklyn Family Pharmacy, Inc.

Doing business as Brooklyn Family Pharmacy

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1659928414
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BROOKLYN FAMILY PHARMACY, INC.
Doing business as
Brooklyn Family Pharmacy
Practice address
355 Avenue X
Brooklyn, NY 11223-5915
Phone
(718) 975-7757
NPI assigned
Aug 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Authorized official

Name
Maks Yunatanov
Title
Director
Phone
(718) 975-7727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

355 Avenue X
Brooklyn, NY 11223-5915

Mailing address

355 Avenue X
Brooklyn, NY 11223-5915

Other names 1

  • Brooklyn Family Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200706003133 NY DME Supplier - Pharmacy 9335562503 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1659928414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235915",
            "telephone_number": "718-975-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN FAMILY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "YUNATANOV",
        "authorized_official_first_name": "MAKS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-975-7727"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooklyn Family 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 Aug 26, 2019; 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.