Organization Active NPI

Jim & Phil'S Family Pharmacy LTD.

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1689678138
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
16426 Issued in NY
Legal business name
JIM & PHIL'S FAMILY PHARMACY LTD.
Practice address
6109 5TH Ave
Brooklyn, NY 11220-4609
Phone
(718) 492-0900
NPI assigned
Jun 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mrs. James R. Schiffer, R.PH. J.D.
Title
Registered Pharrmacist, & Ceo
Phone
(718) 492-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 16426 NY Primary

Addresses

Primary practice location

6109 5TH Ave
Brooklyn, NY 11220-4609

Mailing address

6109 5TH Ave
Brooklyn, NY 11220-4609
Phone (718) 492-0900

Other identifiers 3

IdentifierTypeStateIssuer
3366615OtherNCPDP ID
00363204MedicaidNY
16426OtherNYPHARMACY LICENSE

National Provider Directory

National Provider Directory

Locations

6109 5th Ave
Brooklyn, NY 11220
Phone (718) 492-0900

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": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1689678138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6109 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204609",
            "telephone_number": "718-492-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6109 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204609",
            "telephone_number": "718-492-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM & PHIL'S FAMILY PHARMACY LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SCHIFFER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "REGISTERED PHARRMACIST, & CEO",
        "authorized_official_telephone_number": "718-492-0900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.PH. J.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "16426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP ID",
            "identifier": "3366615",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00363204",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "16426",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 7, 2023; 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.