Active NPI
Brook Pharmacy Inc
- Specialty Pharmacy
- Bronx, NY
National Provider Identifier
1760950224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- Legal business name
- BROOK PHARMACY INC
- Practice address
- 700 Brook Ave
Bronx, NY 10455-1357 - Phone
- (347) 593-0871
- Fax
- (718) 292-1318
- NPI assigned
- Nov 2, 2018
- 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
- Mr. Ibrar Ahmed Nadeem
- Title
- President
- Phone
- (718) 292-1310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialty Pharmacy | 3336S0011X | Primary |
Addresses
Primary practice location
700 Brook Ave
Bronx, NY 10455-1357
Mailing address
700 Brook Ave Ste Ae156Th
Bronx, NY 10455-1357
Phone (718) 292-1310
Other names 1
- BROOK SPECIALTY PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190617000703 | NY | DME Supplier - Pharmacy | 6406189992 | Practice locations: Bronx, NY |
| O20210611000260 | NY | Part B Supplier - Pharmacy | 6406189992 | Practice locations: Bronx, NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560384000000",
"number": "1760950224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 BROOK AVE STE AE156TH",
"city": "BRONX",
"state": "NY",
"postal_code": "104551357",
"telephone_number": "718-292-1310",
"fax_number": "718-292-1318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 BROOK AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104551357",
"telephone_number": "347-593-0871",
"fax_number": "718-292-1318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOK PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-02",
"last_updated": "2019-06-13",
"status": "A",
"authorized_official_last_name": "NADEEM",
"authorized_official_first_name": "IBRAR",
"authorized_official_middle_name": "AHMED",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-292-1310",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BROOK SPECIALTY PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BROOK SPECIALTY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.