Organization Active NPI

Archi-Med Pharmacy Inc.

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1700157484
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031064 Issued in NY
Legal business name
ARCHI-MED PHARMACY INC.
Practice address
6 Bay 50TH St
Brooklyn, NY 11214-6917
Phone
(718) 333-1215
Fax
(718) 333-1217
NPI assigned
Jan 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Mrs. Alla Bragarnik, RPHNPI 1417130121
Title
Supervising Pharmacist
Phone
(718) 333-1215

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 031064 NY Primary

Addresses

Primary practice location

6 Bay 50TH St
Brooklyn, NY 11214-6917

Mailing address

6 Bay 50TH St
Brooklyn, NY 11214-6917
Phone (718) 333-1215

Other identifiers 1

IdentifierTypeStateIssuer
03424013MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120530000017 NY DME Supplier - Pharmacy 8628231776 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
Archi-Med Pharmacy Inc6 Bay 50TH St, Brooklyn, NY 11214-6917(718) 333-1215 Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Apr 2, 2012

National Provider Directory

National Provider Directory

Locations

6 Bay 50th St
Brooklyn, NY 11214
Phone (718) 333-1215

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": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1700157484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BAY 50TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146917",
            "telephone_number": "718-333-1215",
            "fax_number": "718-333-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BAY 50TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146917",
            "telephone_number": "718-333-1215",
            "fax_number": "718-333-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHI-MED PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "BRAGARNIK",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-333-1215",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03424013",
            "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 Jun 18, 2012; 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.