Organization Active NPI

R&T Pharmacy Corp.

  • Compounding Pharmacy
  • Brooklyn, NY
National Provider Identifier
1770018335
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
032993 Issued in NY
Legal business name
R&T PHARMACY CORP.
Practice address
12 Neptune Ave
4430 Prairie Ave, Miami Beach
Brooklyn, NY 11235-4405
Phone
(718) 975-4535
Fax
(718) 975-4534
NPI assigned
Apr 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Jay Enis
Title
President
Phone
(305) 778-8601

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Compounding Pharmacy 3336C0004X 032993 NY Primary

Addresses

Primary practice location

12 Neptune Ave
4430 Prairie Ave, Miami Beach
Brooklyn, NY 11235-4405

Mailing address

12 Neptune Ave
4430 Prairie Ave, Miami Beach
Brooklyn, NY 11235-4405
Phone (718) 975-4535

Other identifiers 2

IdentifierTypeStateIssuer
2168840OtherPK
04059481MedicaidNY

Other names 1

  • R&T PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

12 Neptune Ave
#4430
Brooklyn, NY 11235
Phone (718) 975-4535

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1770018335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NEPTUNE AVE",
            "address_2": "4430 PRAIRIE AVE, MIAMI BEACH",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354405",
            "telephone_number": "718-975-4535",
            "fax_number": "718-975-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 NEPTUNE AVE",
            "address_2": "4430 PRAIRIE AVE, MIAMI BEACH",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354405",
            "telephone_number": "718-975-4535",
            "fax_number": "718-975-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R&T PHARMACY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "ENIS",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-778-8601"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NY",
            "license": "032993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168840",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04059481",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R&T PHARMACY",
            "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 Apr 20, 2017; 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.