Al-Medina Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

022483 Issued in NY

Legal business name

AL-MEDINA PHARMACY INC

Doing business as

Al Medina Pharmacy

Practice address

1242 Flatbush Ave
Brooklyn, NY 11226-7619

Phone

(718) 941-2669

Fax

(718) 941-0935

NPI assigned

Nov 6, 2006

Last updated

Apr 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anisul HasanNPI 1346573623

Title

Supervising Pharmacist

Phone

(718) 941-2669

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• AL MEDINA PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

Locations

Practitioners 3

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.

• Anisul Hasan

  • Pharmacist
  • Brooklyn, NY
  • NPI 1346573623
  NPD Authorized official
• Firaas Anis

  • Pharmacist
  • Brooklyn, NY
  • NPI 1255211868
  NPD (past)
• Volha Bukinich, DR

  • Pharmacist
  • Brooklyn, NY
  • NPI 1891264610
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1750460077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267619",
            "telephone_number": "718-941-2669",
            "fax_number": "718-941-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267619",
            "telephone_number": "718-941-2669",
            "fax_number": "718-941-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL-MEDINA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "ANISUL",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-941-2669"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "022483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01549119",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2058825",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AL MEDINA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eman Al-Janabi, MD
• Mohamed Al-Janabi, DDS
• Shakir Al-Janabi, M.D.
• Farah Al-Juboori
• Ahmed Al-Katib, MD
• Mohammed Al-Mohamedi, M.D.
• Abdullah Al-Mubarak
• Annie Al-Najjar, MD
• Navene Marie Al-Nimri, OTR
• Muhammad Al-Rababah

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.