Organization Active NPI

Lorraine Pharmacy Inc

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1770216434
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
LORRAINE PHARMACY INC
Practice address
72 Lorraine Street
Brooklyn, NY 11231
Phone
(718) 522-5522
Fax
(718) 522-5521
NPI assigned
Jul 8, 2022
Last updated
Jul 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Authorized official

Name
Mr. Rodshal Yakubov
Title
President
Phone
(347) 529-5852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

72 Lorraine Street
Brooklyn, NY 11231

Mailing address

72 Lorraine Street
Brooklyn, NY 11231
Phone (718) 522-5522

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1770216434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 LORRAINE STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11231",
            "telephone_number": "718-522-5522",
            "fax_number": "718-522-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 LORRAINE STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11231",
            "telephone_number": "718-522-5522",
            "fax_number": "718-522-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORRAINE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "YAKUBOV",
        "authorized_official_first_name": "RODSHAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-529-5852",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "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 Jul 8, 2022; 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.