Tmc191Llc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

032404 Issued in NY

Legal business name

TMC191LLC

Doing business as

The Modern Chemist Pharmacy

Practice address

191 4TH Ave
Brooklyn, NY 11217-3124

Phone

(347) 599-0174

Fax

(347) 599-0201

NPI assigned

Mar 4, 2014

Organization subpart

No

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

Authorized official

Name

Parthiv Vora

Title

Supervising Pharmacist

Phone

(508) 287-8432

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• The Modern Chemist Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1831514561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173124",
            "telephone_number": "347-599-0174",
            "fax_number": "347-599-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173124",
            "telephone_number": "347-599-0174",
            "fax_number": "347-599-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMC191LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "VORA",
        "authorized_official_first_name": "PARTHIV",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "508-287-8432"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032404",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144595",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Modern Chemist Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Apr 16, 2014; 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.