Organization Active NPI

T&N Pharmacy Inc

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1902136500
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
029829 Issued in NY
Legal business name
T&N PHARMACY INC
Practice address
2570 E 17TH St
Brooklyn, NY 11235-3505
Phone
(718) 646-2100
Fax
(718) 646-2101
NPI assigned
Jan 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Teimuraz BalachviliNPI 1760642102
Title
President/SP
Phone
(917) 416-4395

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 029829 NY Primary

Addresses

Primary practice location

2570 E 17TH St
Brooklyn, NY 11235-3505

Mailing address

2570 E 17TH St
Brooklyn, NY 11235-3505
Phone (718) 646-2100

Other identifiers 1

IdentifierTypeStateIssuer
3363885OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • T & N Pharmacy Inc. Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930070680 NY DME Supplier - Pharmacy 7315138583 Practice locations: Brooklyn, NY
O20221219002258 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7315138583 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
T&N Pharmacy Inc2570 E 17TH St, Brooklyn, NY 11235(718) 646-2100 Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since Feb 22, 2010

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1902136500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 E 17TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353505",
            "telephone_number": "718-646-2100",
            "fax_number": "718-646-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 E 17TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353505",
            "telephone_number": "718-646-2100",
            "fax_number": "718-646-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T&N PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "BALACHVILI",
        "authorized_official_first_name": "TEIMURAZ",
        "authorized_official_title_or_position": "PRESIDENT/SP",
        "authorized_official_telephone_number": "917-416-4395"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "029829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3363885",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T & N Pharmacy Inc.",
            "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 20, 2010; 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.