Active NPI
Chemplus Pharmacy Corp
- Community/Retail Pharmacy
- Brooklyn, NY
National Provider Identifier
1710352836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 034117
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
dba Chemplus Pharmacy
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1205352002
7719278118
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Brooklyn, NY
- NPI 1417356718
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.