Organization Active NPI

Enriched Inc

Doing business as Fortune Pharmacy

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1689944399
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031089 Issued in NY
Legal business name
ENRICHED INC
Doing business as
Fortune Pharmacy
Practice address
6305 8TH Ave
Brooklyn, NY 11220-4717
Phone
(718) 836-6337
Fax
(718) 836-6333
NPI assigned
Jan 11, 2012
Last updated
Jan 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Eunice LiNPI 1992029094
Title
President
Phone
(718) 836-6337

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
Community/Retail Pharmacy 3336C0003X 031089 NY Primary

Addresses

Primary practice location

6305 8TH Ave
Brooklyn, NY 11220-4717

Mailing address

232 Senator St
Brooklyn, NY 11220-5207
Phone (347) 446-6714

Other identifiers 1

IdentifierTypeStateIssuer
2133507OtherPK

Other names 1

  • Fortune 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
O20131107000165 NY DME Supplier - Pharmacy 3173758737 Practice locations: Brooklyn, NY
O20240408000344 NY Part B Supplier - Mass Immunization (Roster Biller Only) 3173758737 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
Fortune Pharmacy6305 8TH Ave, Brooklyn, NY 11220-4717(718) 836-6337 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Sep 26, 2013

National Provider Directory

National Provider Directory

Locations

6305 8th Ave
Brooklyn, NY 11220
Phone (646) 541-3338

Practitioners & affiliated clinicians

Practitioners 3

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": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1689944399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 SENATOR ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205207",
            "telephone_number": "347-446-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204717",
            "telephone_number": "718-836-6337",
            "fax_number": "718-836-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICHED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-836-6337"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133507",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fortune 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 18, 2017; 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.