Organization Active NPI

Leric Pharmacy Corp

Doing business as Park Ridge Pharmacy

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1730293622
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
016718 Issued in NY
Legal business name
LERIC PHARMACY CORP
Doing business as
Park Ridge Pharmacy
Practice address
7426 15TH Ave
Brooklyn, NY 11228-2219
Phone
(718) 331-9099
Fax
(718) 331-5318
NPI assigned
Aug 18, 2006
Last updated
Feb 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Richard Di Napoli, RPH
Title
RPH
Phone
(718) 331-9099

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 016718 NY Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

7426 15TH Ave
Brooklyn, NY 11228-2219

Mailing address

7426 15TH Ave
Brooklyn, NY 11228-2219

Other identifiers 2

IdentifierTypeStateIssuer
00461601MedicaidNY
3372618OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • PARK RIDGE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

7426 15th Ave
Brooklyn, NY 11228
Phone (718) 216-5555

Practitioners & affiliated clinicians

Practitioners 2

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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1730293622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7426 15TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7426 15TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282219",
            "telephone_number": "718-331-9099",
            "fax_number": "718-331-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LERIC PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "DI NAPOLI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "718-331-9099",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "016718",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00461601",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3372618",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARK RIDGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.