Emmanuel Jean Simon, PHARMD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

066458 Issued in NY

Practice address

2320 Ralph Ave
Brooklyn, NY 11234-5515

Phone

(718) 209-8121

Fax

(718) 209-8127

NPI assigned

Jun 24, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CVS Albany LLC

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1841394509
  NPD (past)
• CVS Albany LLC

  • Pharmacy
  • Brooklyn, RI
  • NPI 1679459481
  NPD (past)

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1831769694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1468 E 93RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365043",
            "telephone_number": "646-431-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345515",
            "telephone_number": "718-209-8121",
            "fax_number": "718-209-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN SIMON",
        "first_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "066458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Jean Pierre
• Dudlene Jean Pierre
• Dudrey Jean Pierre
• Sindy Jean Pierre
• Laure M Jean Rene, R.N
• Enide Jean Toussaint
• Marlene Jean-Baptiste Charles
• Adeline Jean-Baptiste, LMSW
• Benjeethsoo Jean-Baptiste
• Carla Ylose Jean-Baptiste, NP

• 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 24, 2021; 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.