3921 9TH Ave Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

3921 9TH AVE PHARMACY INC

Practice address

3921 9TH Ave
Brooklyn, NY 11232-3207

Phone

(718) 435-7790

Fax

(718) 871-8020

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Olivera Perunovic

Title

President

Phone

(718) 435-7790

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Phillips Pharmacy Doing business as

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1700928207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 9TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112323207",
            "telephone_number": "718-435-7790",
            "fax_number": "718-871-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 9TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112323207",
            "telephone_number": "718-435-7790",
            "fax_number": "718-871-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3921 9TH AVE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "PERUNOVIC",
        "authorized_official_first_name": "OLIVERA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-435-7790",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01791235",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillips Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Nov 15, 2012; 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.