Organization Active NPI

Thriftway Church Ave. Drug Corp.

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1689679847
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
026603 Issued in NY
Legal business name
THRIFTWAY CHURCH AVE. DRUG CORP.
Doing business as
Thriftway Pharmacy
Practice address
1621 Church Ave
Brooklyn, NY 11226-2615
Phone
(718) 282-4600
Fax
(718) 282-3815
NPI assigned
Jun 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Authorized official

Name
Haimwattie Singh, RPHNPI 1275734618
Title
President
Phone
(718) 282-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 026603 NY Primary

Addresses

Primary practice location

1621 Church Ave
Brooklyn, NY 11226-2615

Mailing address

1621 Church Ave
Brooklyn, NY 11226-2615
Phone (718) 282-4600

Other identifiers 1

IdentifierTypeStateIssuer
02551013MedicaidNY

Other names 1

  • Thriftway Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930029748 NY DME Supplier - Pharmacy 8921216953 Practice locations: Brooklyn, NY
O20250416001268 NY Part B Supplier - Pharmacy 8921216953 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
Thriftway Church Ave. Drug Corp.1621 Church Ave, Brooklyn, NY 11226-4785(718) 282-4600 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Enteral… Accepts assignmentParticipating since Mar 19, 2025

National Provider Directory

National Provider Directory

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": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1689679847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262615",
            "telephone_number": "718-282-4600",
            "fax_number": "718-282-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262615",
            "telephone_number": "718-282-4600",
            "fax_number": "718-282-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIFTWAY CHURCH AVE. DRUG CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "HAIMWATTIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-282-4600",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "026603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02551013",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thriftway 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 Jan 6, 2015; 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.