NPIMap

Organization Active NPI

Red Hook Pharmacy Corp

  • Long Term Care Pharmacy
  • Brooklyn, NY
National Provider Identifier
1780068858
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
026309 Issued in NY
Legal business name
RED HOOK PHARMACY CORP
Practice address
376 Van Brunt St
Brooklyn, NY 11231-1235
Phone
(718) 797-0200
NPI assigned
Jul 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Authorized official

Name
Mr. Boris Natenzon
Title
President
Phone
(718) 720-3710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 026309 NY Primary

Addresses

Primary practice location

376 Van Brunt St
Brooklyn, NY 11231-1235

Mailing address

376 Van Brunt St
Brooklyn, NY 11231-1235
Phone (718) 797-0200

Other identifiers 1

IdentifierTypeStateIssuer
02473912MedicaidNY

Other names 1

  • Nates Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nates Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1780068858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 VAN BRUNT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112311235",
            "telephone_number": "718-797-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 VAN BRUNT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112311235",
            "telephone_number": "718-797-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED HOOK PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "NATENZON",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-720-3710",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "026309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02473912",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nates 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 Nov 3, 2016; 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.