Corner Pharmacy Myrtle LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CORNER PHARMACY MYRTLE LLC

Practice address

680 Myrtle Ave
Brooklyn, NY 11205-4119

Phone

(347) 563-5828

NPI assigned

Oct 28, 2020

Organization subpart

No

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

Authorized official

Name

Martin Rubin

Title

Owner

Phone

(347) 563-5828

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These 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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jhonathan Ben-Yshay, PHARM.D

  • Pharmacist
  • Brooklyn, NY
  • NPI 1366035016
  NPD
• Nathaniel Rakhamimov, PHARMD

  • Pharmacist
  • Brooklyn, NY
  • NPI 1023641222
  NPD

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1841890878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 MYRTLE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054119",
            "telephone_number": "347-563-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 MYRTLE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054119",
            "telephone_number": "347-563-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER PHARMACY MYRTLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2021-02-01",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-563-5828"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Corneau, CCC-SLP
• Johanna Cornejo
• Erin Jean Cornell
• Corner Pharmacy
• Corner Pharmacy
• Corner Pharmacy Woodhull LLC (Corner Pharmacy)
• Cornerstone Psychological Services PC
• Donna Cornett, LCSW
• Shawna Cornette
• Andrew Geary Cornicello, A.T.C.

• 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 Feb 1, 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.

Verify at the official NPI Registry.