Organization Active NPI

Segal Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1881741932
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
016777 Issued in NY
Legal business name
SEGAL PHARMACY INC
Practice address
5214 16TH Ave
Brooklyn, NY 11204-1408
Phone
(718) 436-1100
Fax
(718) 436-1206
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Reuben Segal
Title
President
Phone
(718) 436-1100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 016777 NY Primary

Addresses

Primary practice location

5214 16TH Ave
Brooklyn, NY 11204-1408

Mailing address

5214 16TH Ave
Brooklyn, NY 11204-1408

Other identifiers 3

IdentifierTypeStateIssuer
3369445OtherOTHER ID NUMBER-COMMERCIAL NUMBER
00464728MedicaidNY
3369445OtherOTHER ID NUMBER

Other names 1

  • THE DRUG STORE Doing business as

National Provider Directory

National Provider Directory

Locations

5214 16th Ave
Brooklyn, NY 11204
Phone (718) 436-1100

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1881741932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5214 16TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 16TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041408",
            "telephone_number": "718-436-1100",
            "fax_number": "718-436-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "REUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-436-1100"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "016777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3369445",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00464728",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3369445",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE DRUG STORE",
            "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 Sep 12, 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.