Organization Active NPI

Ocean Specialty RX Inc.

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1750150504
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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

Updated by the provider on Dec 22, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
039331OtherNYSTATE BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

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

SupplierSuppliesMedicare assignment
Ocean Specialty RX Inc.128 Ditmas Ave, Brooklyn, NY 11218-4902(718) 431-8232 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Apr 17, 2024

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.