Active NPI
Ocean Specialty RX Inc.
- Pharmacy
- Brooklyn, NY
National Provider Identifier
1750150504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- OCEAN SPECIALTY RX INC.
- Practice address
- 128 Ditmas Ave
Brooklyn, NY 11218-4902 - Phone
- (718) 431-8232
- Fax
- (718) 431-8253
- NPI assigned
- Dec 21, 2023
- 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
- Itzhak Tatolov
- Title
- Owner
- Phone
- (718) 431-8232
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
128 Ditmas Ave
Brooklyn, NY 11218-4902
Mailing address
128 Ditmas Ave
Brooklyn, NY 11218-4902
Phone (718) 431-8232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039331 | Other | NY | STATE BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240408000659 | NY | DME Supplier - Pharmacy | 5193163384 | Practice locations: Brooklyn, NY |
| O20240529000688 | NY | Part B Supplier - Pharmacy | 5193163384 | Practice locations: Brooklyn, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Ocean Specialty RX Inc. | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
128 Ditmas Ave
Brooklyn, NY 11218
Phone (718) 431-8232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703203200000",
"number": "1750150504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 DITMAS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112184902",
"telephone_number": "718-431-8232",
"fax_number": "718-431-8253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 DITMAS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112184902",
"telephone_number": "718-431-8232",
"fax_number": "718-431-8253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEAN SPECIALTY RX INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-21",
"last_updated": "2023-12-22",
"certification_date": "2023-12-22",
"status": "A",
"authorized_official_last_name": "TATOLOV",
"authorized_official_first_name": "ITZHAK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-431-8232"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD",
"identifier": "039331",
"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 Dec 22, 2023; 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.