Guy Brewer Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GUY BREWER PHARMACY INC.

Practice address

11717 Guy R Brewer Blvd
Jamaica, NY 11434-2148

Phone

(718) 525-5005

Fax

(718) 525-5006

NPI assigned

Jul 29, 2009

Last updated

Aug 2, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Simon Baturov, RPHNPI 1437381423

Title

Pharmacist

Phone

(718) 525-5005

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Simon Baturov, RPH

  • Pharmacist
  • Jamaica, NY
  • NPI 1437381423
  NPD Authorized official

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564704000000",
    "number": "1861623662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11717 GUY R BREWER BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114342148",
            "telephone_number": "718-525-5005",
            "fax_number": "718-525-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11717 GUY R BREWER BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114342148",
            "telephone_number": "718-525-5005",
            "fax_number": "718-525-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUY BREWER PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2019-08-02",
        "status": "A",
        "authorized_official_last_name": "BATUROV",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-525-5005",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "048499",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Gustave, LPN
• Susan Gutekunst, PA-C
• Joar Ticzon Gutierrez
• Dakshayani Guttal, M.D.
• Garfield Gutzmore, PA
• Makeda Dafina Guy-Governali, MS CCC SLP
• Cynthia Guy, LICENSE SOCIAL WORKE
• Fajr Guy, OT
• Eloisa Guzman-Rodriguez
• Vida Opare Guzman

• Community/Retail Pharmacy in Jamaica, NY
• Providers in Jamaica, 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 Aug 2, 2019; 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.