Organization Active NPI

Pitkin Care Pharmacy

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1740347954
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
027318 Issued in NY
Legal business name
PITKIN CARE PHARMACY
Practice address
1621 Pitkin Ave
Brooklyn, NY 11212-5050
Phone
(718) 498-1102
Fax
(718) 498-1150
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Victoriya Kulchinskaya
Title
Pharmacist
Phone
(718) 498-1102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 027318 NY Primary

Addresses

Primary practice location

1621 Pitkin Ave
Brooklyn, NY 11212-5050

Mailing address

1621 Pitkin Ave
Brooklyn, NY 11212-5050
Phone (718) 498-1102

Other identifiers 1

IdentifierTypeStateIssuer
02664648MedicaidNY

National Provider Directory

National Provider Directory

Locations

1621 Pitkin Ave
Brooklyn, NY 11212
Phone (718) 498-1102

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740347954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125050",
            "telephone_number": "718-498-1102",
            "fax_number": "718-498-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125050",
            "telephone_number": "718-498-1102",
            "fax_number": "718-498-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITKIN CARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KULCHINSKAYA",
        "authorized_official_first_name": "VICTORIYA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-498-1102"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "027318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02664648",
            "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 Aug 22, 2020; 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.