Teba Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

032292 Issued in NY

Legal business name

TEBA PHARMACY INC.

Practice address

7618 5TH Ave
Brooklyn, NY 11209-3304

Phone

(347) 517-4833

Fax

(347) 517-4834

NPI assigned

Oct 21, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Issam SalamehNPI 1821323213

Title

Ceo

Phone

(646) 717-4600

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• teba pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Issam Salameh, R.PH

  • Pharmacist
  • New York, NY
  • NPI 1821323213
  NPD Authorized official
• Julian Arnaout, PHARMACIST

  • Pharmacist
  • Brooklyn, NY
  • NPI 1497634588
  NPD
• Sarah Mohamed Morsy, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1821556861
  NPD (past)

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1871921353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7618 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093304",
            "telephone_number": "347-517-4833",
            "fax_number": "347-517-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7618 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093304",
            "telephone_number": "347-517-4833",
            "fax_number": "347-517-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEBA PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "SALAMEH",
        "authorized_official_first_name": "ISSAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-717-4600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032292",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04126885",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "teba pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "teba pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, 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 Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.