Organization Active NPI

MG Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1710313903
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MG PHARMACY INC
Practice address
950 Broadway
Brooklyn, NY 11221-2402
Phone
(347) 915-2828
NPI assigned
Sep 19, 2013
Last updated
Jan 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Authorized official

Name
Genady MayzelNPI 1306168737
Title
Pharmacist
Phone
(347) 915-2828

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 Primary

Addresses

Primary practice location

950 Broadway
Brooklyn, NY 11221-2402

Mailing address

950 Broadway
Brooklyn, NY 11221-2402

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150105001802 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2769610336 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

950 Broadway
Brooklyn, NY 11221
Phone (347) 283-6430

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": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1710313903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112212402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112212402",
            "telephone_number": "347-915-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "MAYZEL",
        "authorized_official_first_name": "GENADY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "347-915-2828"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.