Organization Active NPI

B & T West Brighton Pharmacy Inc.

Doing business as B & T Pharmacy

  • Community/Retail Pharmacy
  • Staten Island, NY
National Provider Identifier
1821435793
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031989 Issued in NY
Legal business name
B & T WEST BRIGHTON PHARMACY INC.
Doing business as
B & T Pharmacy
Practice address
702 Castleton Ave
Staten Island, NY 10310-1802
Phone
(718) 273-7200
Fax
(718) 273-7355
NPI assigned
May 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Anatoly Gorokhovsky
Title
President
Phone
(718) 273-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 031989 NY Primary

Addresses

Primary practice location

702 Castleton Ave
Staten Island, NY 10310-1802

Mailing address

702 Casteton Avenue
Staten Island, NY 10310
Phone (718) 273-7200

Other identifiers 1

IdentifierTypeStateIssuer
2140722OtherPK

Other names 1

  • B & T Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131018000473 NY DME Supplier - Pharmacy 7416181888 Practice locations: Staten Island, NY
O20230103001947 NY Part B Supplier - Pharmacy 7416181888 Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory
Tax ID family
B T West Brighton Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1821435793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 CASTETON AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10310",
            "telephone_number": "718-273-7200",
            "fax_number": "718-273-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 CASTLETON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101802",
            "telephone_number": "718-273-7200",
            "fax_number": "718-273-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B & T WEST BRIGHTON PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-31",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "GOROKHOVSKY",
        "authorized_official_first_name": "ANATOLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-273-7200"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140722",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "B & T Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "B & T Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.

Verify at the official NPI Registry.