Organization Active NPI

Flatbush RX Corp

Doing business as Flatbush Rx Pharmacy

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1669839536
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
034265 Issued in NY
Legal business name
FLATBUSH RX CORP
Doing business as
Flatbush Rx Corp
Flatbush Rx Pharmacy
Practice address
1855 Flatbush Ave
Brooklyn, NY 11210-4840
Phone
(718) 677-4067
Fax
(718) 677-4209
NPI assigned
Jan 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Gerges Azeez
Title
Manager
Phone
(718) 677-4067

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 034265 NY Primary

Addresses

Primary practice location

1855 Flatbush Ave
Brooklyn, NY 11210-4840

Mailing address

1855 Flatbush Ave
Brooklyn, NY 11210-4840
Phone (718) 677-4067

Other identifiers 1

IdentifierTypeStateIssuer
2157729OtherPK

Other names 2

  • Flatbush Rx Corp Doing business as
  • Flatbush Rx Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160715001826 NY DME Supplier - Pharmacy 4385936020 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Flatbush RX Corp1855 Flatbush Ave, Brooklyn, NY 11210-4840(718) 677-4067 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Apr 28, 2016

National Provider Directory

National Provider Directory

Locations

1855 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 677-4067

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1669839536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104840",
            "telephone_number": "718-677-4067",
            "fax_number": "718-677-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104840",
            "telephone_number": "718-677-4067",
            "fax_number": "718-677-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLATBUSH RX CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "AZEEZ",
        "authorized_official_first_name": "GERGES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-677-4067"
    },
    "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": "034265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157729",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flatbush Rx Corp",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Flatbush Rx 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 Feb 12, 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.