Park Place Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PARK PLACE PHARMACY, INC

Practice address

160 Park PL
Brooklyn, NY 11217-3350

Phone

(718) 857-4000

Fax

(718) 857-4200

NPI assigned

Mar 3, 2013

Organization subpart

No

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

Authorized official

Name

Natalie Hanukov

Title

Owner

Phone

(718) 857-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marina Tyan

  • Pharmacist
  • Brooklyn, NY
  • NPI 1376120949
  NPD (past)

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

{
    "created_epoch": "1362268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1720329626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 PARK PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173350",
            "telephone_number": "718-857-4000",
            "fax_number": "718-857-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 PARK PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173350",
            "telephone_number": "718-857-4000",
            "fax_number": "718-857-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLACE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-03",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "HANUKOV",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-857-4000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03601269",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Park Family Acupuncture PC
• Park Home Care Inc.
• Park Optical Inc
• Park Optics LLC
• Park Physical Therapy PLLC
• Park RX Inc
• Park RX Inc
• Seung J. Park Shin, M.D.
• Park Slope 360 Medical PC
• Park Slope Acupuncture PLLC

• 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 Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.