Organization Active NPI

Medtown Pharmacy

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1790324564
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
MEDTOWN PHARMACY
Practice address
517 Park Ave
Brooklyn, NY 11205-1783
Phone
(718) 875-1505
NPI assigned
Dec 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Authorized official

Name
Bruce Lichtenstein
Title
Owner
Phone
(718) 875-1505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

517 Park Ave
Brooklyn, NY 11205-1783

Mailing address

517 Park Ave
Brooklyn, NY 11205-1783
Phone (718) 875-1505

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1790324564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 PARK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051783",
            "telephone_number": "718-875-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 PARK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051783",
            "telephone_number": "718-875-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTOWN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "LICHTENSTEIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-875-1505"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "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 Dec 27, 2019; 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.