NPIMap

Organization Active NPI

1413 Fulton St Pharmacy

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1760669261
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
015396 Issued in NY
Legal business name
1413 FULTON ST PHARMACY
Practice address
1413 Fulton St
Brooklyn, NY 11216-2607
Phone
(718) 638-5088
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Mr. Robert Berman, RPH
Title
Tres.
Phone
(718) 638-5055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 015396 NY Primary

Addresses

Primary practice location

1413 Fulton St
Brooklyn, NY 11216-2607

Mailing address

1413 Fulton St
Brooklyn, NY 11216-2607
Phone (718) 638-5088

National Provider Directory

National Provider Directory
Tax ID family
1413 Fulton St Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1760669261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162607",
            "telephone_number": "718-638-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162607",
            "telephone_number": "718-638-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1413 FULTON ST PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "TRES.",
        "authorized_official_telephone_number": "718-638-5055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "015396",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 28, 2008; 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.