Lincoln Pharma Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

035484 Issued in NY

Legal business name

LINCOLN PHARMA INC

Practice address

723 Flatbush Ave
Brooklyn, NY 11226-1403

Phone

(718) 284-0083

Fax

(718) 284-0551

NPI assigned

Apr 12, 2017

Organization subpart

No

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

Authorized official

Name

Rekha Patel

Title

President

Phone

(718) 284-0083

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LINCOLN PHARMACY Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1821522251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112261403",
            "telephone_number": "718-284-0083",
            "fax_number": "718-284-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112261403",
            "telephone_number": "718-284-0083",
            "fax_number": "718-284-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "REKHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-284-0083"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2169635",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04811881",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LINCOLN PHARMACY",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "LINCOLN PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Zilan Lin, MD
• Diana Linares, COTA
• Rachel Marcelle Lincer, M.S., CF-SLP, TSSLD
• Lincoln Care Pharma Inc
• Lincoln Neighborhood Pharmacy Inc
• Lincoln Place Pharmacy Inc (Lincoln Place Pharmacy LTC)
• Lincoln Place Pharmacy Inc (Lincoln Place Pharmacy)
• Joel Alan Lincoln, MD
• Priscilla Page Lincoln, PSYCHIATRIC NP
• Anne Lind

• 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 Jun 9, 2020; 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.