Active NPI
Kamran Pharmacy Inc.
- Pharmacy
- Brooklyn, NY
National Provider Identifier
1831231224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 027614
- Legal business name
- KAMRAN PHARMACY INC.
- Doing business as
- Family pharmacy
- Practice address
- 1101 Flatbush Ave
Brooklyn, NY 11226-6141 - Phone
- (718) 703-2440
- Fax
- (718) 703-2445
- NPI assigned
- Feb 13, 2007
- 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
- Mr. Kamran Mustafa I
- Title
- President
- Phone
- (718) 703-2440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 027614 | NY | Primary |
Addresses
Primary practice location
1101 Flatbush Ave
Brooklyn, NY 11226-6141
Mailing address
1101 Flatbush Ave
Brooklyn, NY 11226-6141
Phone (718) 703-2440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02664639 | Medicaid | NY |
Other names 1
- Family pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130212000579 | NY | DME Supplier - Pharmacy | 4385898774 | Practice locations: Brooklyn, NY |
| O20211015001218 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 4385898774 | Practice locations: Brooklyn, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Family Pharmacy | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611273600000",
"number": "1831231224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 FLATBUSH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112266141",
"telephone_number": "718-703-2440",
"fax_number": "718-703-2445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 FLATBUSH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112266141",
"telephone_number": "718-703-2440",
"fax_number": "718-703-2445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAMRAN PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A",
"authorized_official_last_name": "MUSTAFA",
"authorized_official_first_name": "KAMRAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-703-2440",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "I"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NY",
"license": "027614",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02664639",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Family pharmacy",
"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 Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.