Haven Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

025828 Issued in NY

Legal business name

HAVEN PHARMACY

Practice address

1211 Avenue U
Brooklyn, NY 11229-4108

Phone

(718) 382-9616

Fax

(718) 382-9615

NPI assigned

Aug 1, 2006

Organization subpart

No

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

Authorized official

Name

Viktoria Grinblat

Title

RPH, SP, Secretary

Phone

(718) 382-9616

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PANACEA PHARMACY Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eva Baumblit

  • Pharmacist
  • Brooklyn, NY
  • NPI 1255654364
  NPD (past)
• Regina Segal

  • Pharmacist
  • Brooklyn, NY
  • NPI 1194047407
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1811903594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294108",
            "telephone_number": "718-382-9616",
            "fax_number": "718-382-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294108",
            "telephone_number": "718-382-9616",
            "fax_number": "718-382-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "GRINBLAT",
        "authorized_official_first_name": "VIKTORIA",
        "authorized_official_title_or_position": "RPH, SP, SECRETARY",
        "authorized_official_telephone_number": "718-382-9616"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02384316",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3331307",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PANACEA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Hauser
• Gwen April Hausman, OD
• Paulette Marie Hausner, MD
• Have Doctor Will Travel Medical PC
• Havemeyer Pharmacy Inc
• Brian B Havens, PTA
• Carrie Havens
• Dawn Havens
• Raymond Havercome
• Kelly Sands Haviland, FNP

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.