Active NPI
Corner Pharmacy
- Community/Retail Pharmacy
- Brooklyn, NY
National Provider Identifier
1720143258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 040080 1
- Legal business name
- CORNER PHARMACY
- Practice address
- 166 Division Ave
Brooklyn, NY 11211-7108 - Phone
- (718) 599-2771
- Fax
- (718) 599-1474
- NPI assigned
- Dec 26, 2006
- 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
- Mr. Martin Rubin
- Title
- President
- Phone
- (718) 599-2771
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 040080 1 | NY | Primary |
Addresses
Primary practice location
166 Division Ave
Brooklyn, NY 11211-7108
Mailing address
166 Division Ave
Brooklyn, NY 11211-7108
Phone (718) 599-2771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01639385 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930098750 | NY | DME Supplier - Pharmacy | 9931300746 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Corner Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Brooklyn, NY
- NPI 1013523778
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 1306161609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265241600000",
"number": "1720143258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 DIVISION AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112117108",
"telephone_number": "718-599-2771",
"fax_number": "718-599-1474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 DIVISION AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112117108",
"telephone_number": "718-599-2771",
"fax_number": "718-599-1474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNER PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-26",
"last_updated": "2010-02-04",
"status": "A",
"authorized_official_last_name": "RUBIN",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-599-2771",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "040080 1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01639385",
"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 Feb 4, 2010; 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.