Individual provider Active NPI

Philip Peng

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1861672289
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
044226 Issued in NY
Practice address
5218 8TH Ave
Brooklyn, NY 11220-2816
Phone
(718) 686-0812
Fax
(718) 686-0811
NPI assigned
Nov 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 044226 NY Primary

Addresses

Primary practice location

5218 8TH Ave
Brooklyn, NY 11220-2816

Mailing address

831 58TH St
Brooklyn, NY 11220-3609

Other identifiers 1

IdentifierTypeStateIssuer
044226OtherNYPHARMACIST LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Get Well Pharmacy Inc. CurrentSince Feb 27, 2022 Accepting new patients
Kinetic Pharmacy Inc. Current Accepting new patients
Janus Pharmacy Inc. Current Accepting new patients

Locations

5218 8th Ave
Brooklyn, NY 11220
Phone (718) 686-0812

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1861672289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 58TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5218 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202816",
            "telephone_number": "718-686-0812",
            "fax_number": "718-686-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENG",
        "first_name": "PHILIP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "044226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "044226",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.