Organization Active NPI

Marcy Pharmacy Inc

Doing business as Marcy Pharmacy

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1841351855
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
028484 Issued in NY
Legal business name
MARCY PHARMACY INC
Doing business as
Marcy Pharmacy
Practice address
170 Throop Ave
Brooklyn, NY 11206-5313
Phone
(718) 384-5917
Fax
(718) 384-0273
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Fami Fozi
Title
President
Phone
(718) 384-5917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 028484 NY Primary

Addresses

Primary practice location

170 Throop Ave
Brooklyn, NY 11206-5313

Mailing address

170 Throop Ave
Brooklyn, NY 11206-5313
Phone (718) 384-5917

Other identifiers 2

IdentifierTypeStateIssuer
2060582OtherPK
02923173MedicaidNY

Other names 1

  • MARCY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110315000511 NY DME Supplier - Pharmacy 7810179645 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1841351855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 THROOP AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065313",
            "telephone_number": "718-384-5917",
            "fax_number": "718-384-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 THROOP AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065313",
            "telephone_number": "718-384-5917",
            "fax_number": "718-384-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "FOZI",
        "authorized_official_first_name": "FAMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-384-5917"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2060582",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02923173",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARCY 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 18, 2017; 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.