V.G.H. Pharmacy Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

018228 Issued in NY

Legal business name

V.G.H. PHARMACY INC.

Practice address

1454 Myrtle Ave
Brooklyn, NY 11237-5102

Phone

(718) 453-6200

Fax

(718) 455-3226

NPI assigned

Nov 3, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Howard S. Feder, R.PH.NPI 1427039676

Title

Supervising Pharmacist

Phone

(718) 453-6200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• myrtle ave. pharmacy Doing business as

Practitioners 3

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

• Howard S. Feder, R.PH.

  • Pharmacist
  • Brooklyn, NY
  • NPI 1427039676
  NPD (past) Authorized official
• Yakov Fattakhov

  • Pharmacist
  • Brooklyn, NY
  • NPI 1972936979
  NPD (past)
• Adrian Vega

  • Pharmacist
  • Brooklyn, NY
  • NPI 1831465004
  NPD (past)

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1699766121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 MYRTLE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112375102",
            "telephone_number": "718-453-6200",
            "fax_number": "718-455-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 MYRTLE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112375102",
            "telephone_number": "718-453-6200",
            "fax_number": "718-455-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V.G.H. PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "FEDER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-453-6200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "018228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00843581",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "myrtle ave. pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.