Ridge Chemists, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

034650 Issued in NY

Legal business name

RIDGE CHEMISTS, LLC

Practice address

4620 3Rd Ave
Brooklyn, NY 11220-1034

Phone

(718) 333-5979

Fax

(718) 333-5983

NPI assigned

May 23, 2016

Organization subpart

No

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

Authorized official

Name

Evangelos PappasNPI 1558544866

Title

Sole Owner

Phone

(718) 333-5979

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Tax ID family

Ridge Chemists LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ridge Chemists, LLC

  • Compounding Pharmacy
  • Brooklyn, NY
  • NPI 1205284817
  NPD tax ID

Locations

Practitioners 1

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

• Evangelos Pappas, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1558544866
  NPD Authorized official

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1669829339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201034",
            "telephone_number": "718-333-5979",
            "fax_number": "718-333-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201034",
            "telephone_number": "718-333-5979",
            "fax_number": "718-333-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE CHEMISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "EVANGELOS",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "718-333-5979"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "034650",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRATION",
            "identifier": "034650",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04527175",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rideaway Car Service
• Rideco Inc.
• Ridge Advanced Physical Therapy PLLC
• Ridge Blvd Dental PC
• Ridge Chemists, LLC
• Ridge Colonial LLC
• Ridge Ez Pharmacy Inc.
• Ridge Ez Pharmacy Inc. LTC
• Ridge Psychological Services PLLC
• Natalie Ann Ridge, DO

• 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 Mar 23, 2021; 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.