Brentwood Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

BRENTWOOD PHARMACY LLC

Doing business as

Washington Square Pharmacy

Practice address

48 W 8TH St
New York, NY 10011-9013

Phone

(212) 460-5838

NPI assigned

Nov 3, 2010

Organization subpart

No

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

Authorized official

Name

Rajasekhar Kantamneni

Title

Member

Phone

(212) 460-5838

Specialties & licenses 1

Addresses

Other names 1

• Washington Square Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1891096137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 W 8TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100119013",
            "telephone_number": "212-460-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 W 8TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100119013",
            "telephone_number": "212-460-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "KANTAMNENI",
        "authorized_official_first_name": "RAJASEKHAR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "212-460-5838"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Square Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Brenseke
• Andrea Brensilber
• Deandra Brent
• Renier J Brentjens, MD
• Tricia E. Brentjens, M.D.
• Elizabeth Brenzel
• Andrea Brescia, MD
• Julianne D Bresciani, LCSW
• Ivan Bresgi, PH.D.
• Linda Breskin, PH.D.

• Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.