Organization Active NPI

Fulton 1St Pharmacy, Inc

  • Long Term Care Pharmacy
  • Brooklyn, NY
National Provider Identifier
1740767391
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
FULTON 1ST PHARMACY, INC
Practice address
1185 Fulton St
Brooklyn, NY 11216-1810
Phone
(718) 484-9100
Fax
(718) 484-9109
NPI assigned
Jul 26, 2018
Organization subpart
Yes
Parent organization
FULTON 1ST PHARMACY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Authorized official

Name
Mohamed Elrashidy
Title
General Manger
Phone
(646) 922-8282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1185 Fulton St
Brooklyn, NY 11216-1810

Mailing address

1185 Fulton St
Brooklyn, NY 11216-1810
Phone (718) 484-9100

Other identifiers 1

IdentifierTypeStateIssuer
04061441MedicaidNY

National Provider Directory

National Provider Directory
Part of
Fulton 1St Pharmacy Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1740767391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161810",
            "telephone_number": "718-484-9100",
            "fax_number": "718-484-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161810",
            "telephone_number": "718-484-9100",
            "fax_number": "718-484-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON 1ST PHARMACY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FULTON 1ST PHARMACY, INC",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "ELRASHIDY",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "GENERAL MANGER",
        "authorized_official_telephone_number": "646-922-8282"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04061441",
            "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 Jul 26, 2018; 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.