Organization Active NPI

Chemplus Pharmacy Corp

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1710352836
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
034117 Issued in NY
Legal business name
CHEMPLUS PHARMACY CORP
Practice address
1336 Utica Ave
Brooklyn, NY 11203-5912
Phone
(718) 935-1033
Fax
(718) 935-1113
NPI assigned
Dec 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Authorized official

Name
Dianna Elishaiyev
Title
Supervising Pharmacist
Phone
(718) 935-1033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 034117 NY Primary

Addresses

Primary practice location

1336 Utica Ave
Brooklyn, NY 11203-5912

Mailing address

648 Schroeders Ave
Brooklyn, NY 11239-2234
Phone (347) 299-9515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240822000433 NY Part B Supplier - Pharmacy 7719278118 Practice locations: Brooklyn, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1336 Utica Ave
Brooklyn, NY 11203
Phone (718) 629-5500

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": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1710352836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 SCHROEDERS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112392234",
            "telephone_number": "347-299-9515",
            "fax_number": "718-935-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112035912",
            "telephone_number": "718-935-1033",
            "fax_number": "718-935-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEMPLUS PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "ELISHAIYEV",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-935-1033"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034117",
            "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 Apr 17, 2019; 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.