NPIMap

Organization Active NPI

Phillips Pharmacy

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1831621150
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051237 Issued in NY
Legal business name
PHILLIPS PHARMACY
Practice address
3921 9TH Ave
Brooklyn, NY 11232-3207
Phone
(718) 435-7790
NPI assigned
Mar 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Dr. Eugene Ha
Title
Pharmacy Manager
Phone
(718) 435-7790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 051237 NY Primary

Addresses

Primary practice location

3921 9TH Ave
Brooklyn, NY 11232-3207

Mailing address

3921 9TH Avenue
Brooklyn, NY 11232-3207
Phone (718) 435-7790

National Provider Directory

National Provider Directory
Tax ID family
Phillips 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.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1831621150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 9TH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112323207",
            "telephone_number": "718-435-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 9TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112323207",
            "telephone_number": "718-435-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "718-435-7790",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "051237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 28, 2017; 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.