Organization Active NPI

Ymga Pharmacy Services, Corp

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1891784948
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
025286 Issued in NY
Legal business name
YMGA PHARMACY SERVICES, CORP
Practice address
8510 3Rd Ave
Brooklyn, NY 11209-4610
Phone
(718) 680-9855
Fax
(718) 680-9856
NPI assigned
Oct 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Anton Fallah, RPHNPI 1821310731
Title
President
Phone
(718) 680-9855

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 025286 NY
Community/Retail Pharmacy 3336C0003X 025286 NY Primary

Addresses

Primary practice location

8510 3Rd Ave
Brooklyn, NY 11209-4610

Mailing address

8510 3Rd Ave
Brooklyn, NY 11209-4610
Phone (718) 680-9855

Other identifiers 1

IdentifierTypeStateIssuer
02245518MedicaidNY

Other names 1

  • Best Care Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930094096 NY DME Supplier - Pharmacy 1456564459 Practice locations: Brooklyn, NY
O20131219001488 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1456564459 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2185837Best Care Pharmacy8510 3Rd Ave, Brooklyn, NY 11209Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

8510 3rd Ave
Brooklyn, NY 11209
Phone (718) 680-9855

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1891784948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8510 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094610",
            "telephone_number": "718-680-9855",
            "fax_number": "718-680-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094610",
            "telephone_number": "718-680-9855",
            "fax_number": "718-680-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YMGA PHARMACY SERVICES, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "FALLAH",
        "authorized_official_first_name": "ANTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-680-9855",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "025286",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02245518",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Best Care Pharmacy",
            "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 Nov 18, 2013; 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.