Organization Active NPI

All American Druggist Inc

Doing business as All American Druggists

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1891784195
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
018762 Issued in NY
Legal business name
ALL AMERICAN DRUGGIST INC
Doing business as
All American Druggists
Practice address
1101 Brighton Beach Ave
Brooklyn, NY 11235-5558
Phone
(718) 891-2801
Fax
(718) 743-5804
NPI assigned
Oct 19, 2005
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Marina VaysbaumNPI 1972521821
Title
Sup Pharm
Phone
(718) 891-2801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 018762 NY Primary

Addresses

Primary practice location

1101 Brighton Beach Ave
Brooklyn, NY 11235-5558

Mailing address

1101 Brighton Beach Ave
Brooklyn, NY 11235-5558
Phone (718) 891-2801

Other identifiers 2

IdentifierTypeStateIssuer
2063587OtherPK
00910045MedicaidNY

Other names 1

  • ALL AMERICAN DRUGGISTS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930015576 NY DME Supplier - Pharmacy 6507986692 Practice locations: Brooklyn, NY
O20210312001503 NY Part B Supplier - Mass Immunization (Roster Biller Only) 6507986692 Practice locations: Brooklyn, NY
O20260123002165 NY Part B Supplier - Pharmacy 6507986692 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
All American Druggist Inc1101 Brighton Beach Ave, Brooklyn, NY 11235-5558(718) 891-2801 Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

1101 Brighton Beach Ave
Brooklyn, NY 11235
Phone (718) 891-2801

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1891784195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BRIGHTON BEACH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355558",
            "telephone_number": "718-891-2801",
            "fax_number": "718-743-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BRIGHTON BEACH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355558",
            "telephone_number": "718-891-2801",
            "fax_number": "718-743-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL AMERICAN DRUGGIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "VAYSBAUM",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "SUP PHARM",
        "authorized_official_telephone_number": "718-891-2801"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "018762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2063587",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00910045",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALL AMERICAN DRUGGISTS",
            "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 19, 2025; 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.