5407 Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

5407 PHARMACY INC

Practice address

5407 2ND Ave
Brooklyn, NY 11220-2669

Phone

(718) 492-9800

Fax

(718) 492-1900

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Dalia Choudhry

Title

President

Phone

(917) 531-1213

Specialties & licenses 1

Addresses

Other names 1

• Lutheran Pharmacy Doing business as

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1801322706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 2ND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202669",
            "telephone_number": "718-492-9800",
            "fax_number": "718-492-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 2ND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202669",
            "telephone_number": "718-492-9800",
            "fax_number": "718-492-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5407 PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "CHOUDHRY",
        "authorized_official_first_name": "DALIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-531-1213",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lutheran Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lutheran Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.