Organization Active NPI

Nostrand Drug Corp.

Doing business as New Age Pharmacy

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1861539322
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
027111 Issued in NY
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.