Organization Active NPI

Giant Pitkin Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1669892931
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
032751 Issued in NY
Legal business name
GIANT PITKIN PHARMACY INC
Doing business as
Health Mart Pitkin Pharmacy
Practice address
2232 Pitkin Ave
Brooklyn, NY 11207-3621
Phone
(347) 955-5506
Fax
(347) 406-7124
NPI assigned
Apr 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Authorized official

Name
Ken Lee, PHARM.D., RPH
Title
President, Pic
Phone
(347) 955-5506

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 032751 NY Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

2232 Pitkin Ave
Brooklyn, NY 11207-3621

Mailing address

2232 Pitkin Ave
Brooklyn, NY 11207-3621
Phone (347) 955-5506

Other identifiers 2

IdentifierTypeStateIssuer
03992894MedicaidNY
2146194OtherPK

Other names 1

  • Health Mart Pitkin Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2232 Pitkin Ave
Brooklyn, NY 11207
Phone (718) 485-3724

Practitioners & affiliated clinicians

Practitioners 1

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": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1669892931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112073621",
            "telephone_number": "347-955-5506",
            "fax_number": "347-406-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112073621",
            "telephone_number": "347-955-5506",
            "fax_number": "347-406-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANT PITKIN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PRESIDENT, PIC",
        "authorized_official_telephone_number": "347-955-5506",
        "authorized_official_credential": "PHARM.D., RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032751",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03992894",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146194",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Mart Pitkin 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 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.