Organization Active NPI

Ez RX Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1760797534
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
030240 Issued in NY
Legal business name
EZ RX PHARMACY INC
Doing business as
ez rx pharmacy, inc.
Practice address
8802 4TH Ave
Brooklyn, NY 11209-5606
Phone
(347) 560-6560
Fax
(347) 560-6562
NPI assigned
Aug 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Authorized official

Name
Abdelmez AlilealaNPI 1851576342
Title
Owner-SP Pharmaxist-Officer
Phone
(347) 560-6560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 030240 NY Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

8802 4TH Ave
Brooklyn, NY 11209-5606

Mailing address

8802 4TH Ave
Brooklyn, NY 11209-5606
Phone (347) 560-6560

Other identifiers 2

IdentifierTypeStateIssuer
2126286OtherPK
03268471MedicaidNY

Other names 1

  • ez rx pharmacy, inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101123000601 NY DME Supplier - Pharmacy 9335335827 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
Ez RX Pharmacy Inc8802 4TH Ave, Brooklyn, NY 11209-5606(347) 560-6560 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applicat… Does not accept assignmentParticipating since Oct 1, 2010

National Provider Directory

National Provider Directory

Locations

8802 4th Ave
Brooklyn, NY 11209
Phone (347) 560-6560

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1760797534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8802 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095606",
            "telephone_number": "347-560-6560",
            "fax_number": "347-560-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8802 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095606",
            "telephone_number": "347-560-6560",
            "fax_number": "347-560-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ RX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "ALILEALA",
        "authorized_official_first_name": "ABDELMEZ",
        "authorized_official_title_or_position": "OWNER-SP PHARMAXIST-OFFICER",
        "authorized_official_telephone_number": "347-560-6560"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030240",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126286",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03268471",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ez rx pharmacy, inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 7, 2014; 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.