Organization Active NPI

New Brooklyn Pharmacy Inc

Doing business as brooklyn pharmacy inc

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1770091803
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
NEW BROOKLYN PHARMACY INC
Doing business as
brooklyn pharmacy inc
Practice address
1675 Flatbush Ave
Brooklyn, NY 11210-3946
Phone
(347) 462-4662
Fax
(347) 462-4664
NPI assigned
Jan 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Authorized official

Name
Mahvish Ahmad
Title
President
Phone
(347) 462-4662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

1675 Flatbush Ave
Brooklyn, NY 11210-3946

Mailing address

1675 Flatbush Ave
Brooklyn, NY 11210-3946
Phone (347) 462-4662

Other names 1

  • brooklyn pharmacy inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180820003652 NY DME Supplier - Pharmacy 2466701776 Practice locations: Brooklyn, NY
O20220419002125 NY Part B Supplier - Pharmacy 2466701776 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1675 Flatbush Ave
Brooklyn, NY 11210
Phone (347) 462-4662

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1770091803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103946",
            "telephone_number": "347-462-4662",
            "fax_number": "347-462-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103946",
            "telephone_number": "347-462-4662",
            "fax_number": "347-462-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BROOKLYN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2023-05-19",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "MAHVISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-462-4662"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "brooklyn pharmacy inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "brooklyn 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 May 19, 2023; 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.

Verify at the official NPI Registry.