Organization Active NPI

Wyckoff Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1790018612
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029785 Issued in NY
Legal business name
WYCKOFF PHARMACY INC
Doing business as
Wyckoff Pharmacy Inc
Practice address
5 Graham Ave
Brooklyn, NY 11206-4108
Phone
(718) 381-6200
Fax
(718) 381-6201
NPI assigned
Sep 10, 2009
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Mohammad Rana, PHARMACYNPI 1285800334
Title
Supervising Pharmacist
Phone
(718) 381-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 029785 NY Primary

Addresses

Primary practice location

5 Graham Ave
Brooklyn, NY 11206-4108

Mailing address

5 Graham Ave
Brooklyn, NY 11206-4108
Phone (718) 381-6200

Other identifiers 2

IdentifierTypeStateIssuer
2122304OtherPK
03169537MedicaidNY

Other names 1

  • Wyckoff Pharmacy Inc Doing business as

National Provider Directory

National Provider Directory

Locations

5 Graham Ave
Brooklyn, NY 11206
Phone (718) 381-6200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1790018612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GRAHAM AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064108",
            "telephone_number": "718-381-6200",
            "fax_number": "718-381-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GRAHAM AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064108",
            "telephone_number": "718-381-6200",
            "fax_number": "718-381-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYCKOFF PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "RANA",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-381-6200",
        "authorized_official_credential": "PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122304",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03169537",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wyckoff 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 Sep 19, 2025; 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.