Active NPI
Bed-Stuy Pharmacy Ny LLC
- Community/Retail Pharmacy
- Brooklyn, NY
National Provider Identifier
1801952171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- BED-STUY PHARMACY NY LLC
- Practice address
- 1458 Fulton St
Brooklyn, NY 11216-5365 - Phone
- (718) 221-4860
- Fax
- (718) 221-4864
- NPI assigned
- Dec 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Poseidon Belitsis
- Title
- Pic
- Phone
- (917) 830-2522
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
1458 Fulton St
Brooklyn, NY 11216-5365
Mailing address
1047 Surf Ave
2ND Floor
Brooklyn, NY 11224-2810
Phone (212) 249-8202
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02730270 | Medicaid | NY | |
| 2067641 | Other | PK |
Other names 1
- Quick Rx
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210511001760 | NY | DME Supplier - Pharmacy | 2466861000 | Practice locations: Brooklyn, NY |
| O20230209000524 | NY | Part B Supplier - Pharmacy | 2466861000 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Bed - Sty Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Brooklyn, NY
- NPI 1427806991
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Brooklyn, NY
- NPI 1215034228
-
- Pharmacist
- Brooklyn, NY
- NPI 1588833628
-
- Pharmacist
- Brooklyn, NY
- NPI 1285417725
-
- Pharmacist
- Brooklyn, NY
- NPI 1891942934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621987200000",
"number": "1801952171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1047 SURF AVE",
"address_2": "2ND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112242810",
"telephone_number": "212-249-8202",
"fax_number": "917-722-0851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1458 FULTON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112165365",
"telephone_number": "718-221-4860",
"fax_number": "718-221-4864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BED-STUY PHARMACY NY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A",
"authorized_official_last_name": "BELITSIS",
"authorized_official_first_name": "POSEIDON",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "917-830-2522"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02730270",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2067641",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Quick Rx",
"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 May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.