Organization Active NPI

Woodhull Prescription Center Inc.

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1871632372
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
025469 Issued in NY
Legal business name
WOODHULL PRESCRIPTION CENTER INC.
Practice address
755 Flushing Ave
Brooklyn, NY 11206-4419
Phone
(718) 599-1309
Fax
(718) 599-1374
NPI assigned
Feb 5, 2007
Last updated
Feb 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Mr. Sahaj K Patel
Title
President
Phone
(718) 599-1309

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 025469 NY Primary
Specialty Pharmacy 3336S0011X 025469 NY

Addresses

Primary practice location

755 Flushing Ave
Brooklyn, NY 11206-4419

Mailing address

755 Flushing Ave
Brooklyn, NY 11206-4419
Phone (718) 599-1309

Other identifiers 1

IdentifierTypeStateIssuer
02291972MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930098615 NY DME Supplier - Pharmacy 4183832165 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Tax ID family
Medly Specialty Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

755 Flushing Ave
Brooklyn, NY 11206
Phone (718) 387-7300

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1871632372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 FLUSHING AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064419",
            "telephone_number": "718-599-1309",
            "fax_number": "718-599-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 FLUSHING AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064419",
            "telephone_number": "718-599-1309",
            "fax_number": "718-599-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODHULL PRESCRIPTION CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SAHAJ",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-599-1309",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025469",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NY",
            "license": "025469",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02291972",
            "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 Feb 13, 2024; 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.