Active NPI
Nostrand Drug Corp.
Doing business as New Age Pharmacy
- Community/Retail Pharmacy
- Brooklyn, NY
National Provider Identifier
1861539322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 027111
- Legal business name
- NOSTRAND DRUG CORP.
- Doing business as
- New Age Pharmacy
- Practice address
- 2918 Avenue J
Brooklyn, NY 11210-3842 - Phone
- (718) 253-1700
- Fax
- (718) 253-8777
- NPI assigned
- Jan 31, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Yonatan Ziso, PHARMD
- Title
- President
- Phone
- (718) 253-1700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 027111 | NY | Primary |
Addresses
Primary practice location
2918 Avenue J
Brooklyn, NY 11210-3842
Mailing address
2918 Avenue J
Brooklyn, NY 11210-3842
Phone (718) 253-1700
Other names 1
- NEW AGE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170502000520 | NY | DME Supplier - Pharmacy | 0648557512 | Practice locations: Brooklyn, NY |
| O20170614002107 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 0648557512 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider Directory- Tax ID family
- New Age Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Brooklyn, NY
- NPI 1639700537
Locations
2918 Avenue J
Brooklyn, NY 11210
Phone (718) 253-1700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1861539322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2918 AVENUE J",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112103842",
"telephone_number": "718-253-1700",
"fax_number": "718-253-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2918 AVENUE J",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112103842",
"telephone_number": "718-253-1700",
"fax_number": "718-253-8777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOSTRAND DRUG CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ZISO",
"authorized_official_first_name": "YONATAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-253-1700",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "027111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NEW AGE 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 Aug 22, 2020; 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.