Eba Drug Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EBA DRUG CORP

Practice address

1490 Flatbush Ave
Brooklyn, NY 11210-2436

Phone

(718) 421-8161

Fax

(718) 421-8160

NPI assigned

Dec 5, 2016

Organization subpart

No

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

Authorized official

Name

Olgha BallasNPI 1710538400

Title

Owner

Phone

(718) 421-8161

Specialties & licenses 2

Addresses

Other names 1

• Fine Care Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olgha Ballas

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Brooklyn, NY
  • NPI 1710538400
  NPD Authorized official
• Abdelrahman Mohamed Hassan

  • Pharmacist
  • Brooklyn, NY
  • NPI 1588164875
  NPD (past)
• Shahnoza Tohirova

  • Pharmacist
  • Brooklyn, NY
  • NPI 1609713874
  NPD (past)

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1699219097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102436",
            "telephone_number": "718-421-8161",
            "fax_number": "718-421-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102436",
            "telephone_number": "718-421-8161",
            "fax_number": "718-421-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBA DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "BALLAS",
        "authorized_official_first_name": "OLGHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-421-8161"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fine Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Hyde Eaton, BCBA
• Jack H Eaton, RPH
• Nicholas Robert Eaton, PH.D.
• Eaw Medical Care PLLC
• Eazycare Respite Services, Inc.
• Mohamed Kilany Mohamed Moham Ebadh
• Debra Susan Ebanks
• Sheila Barbara Ebbin, LCSW
• Tobechi Lynda Ebede, MD
• Anthony Romiwa Ebeh, LMSW

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.