Organization Active NPI

RM Island Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1902188493
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031061 Issued in NY
Legal business name
RM ISLAND PHARMACY INC
Practice address
1841 Coney Island Ave
Brooklyn, NY 11230-6512
Phone
(718) 336-2800
Fax
(718) 998-1105
NPI assigned
Sep 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Marina Samborsky, PHARM.DNPI 1386870913
Title
Owner/Pic
Phone
(718) 336-2800

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 031061 NY Primary

Addresses

Primary practice location

1841 Coney Island Ave
Brooklyn, NY 11230-6512

Mailing address

1841 Coney Island Ave
Brooklyn, NY 11230-6512
Phone (718) 336-2800

Other identifiers 2

IdentifierTypeStateIssuer
2133841OtherPK
03360478MedicaidNY

Other names 1

  • Island 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
O20120509000168 NY DME Supplier - Pharmacy 5193987162 Practice locations: Brooklyn, NY
O20171129001663 NY Part B Supplier - Mass Immunization (Roster Biller Only) 5193987162 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1841 Coney Island Ave
Brooklyn, NY 11230
Phone (718) 336-2800

Practitioners & affiliated clinicians

Practitioners 2

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": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1902188493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306512",
            "telephone_number": "718-336-2800",
            "fax_number": "718-998-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306512",
            "telephone_number": "718-336-2800",
            "fax_number": "718-998-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RM ISLAND PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "SAMBORSKY",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "718-336-2800",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133841",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03360478",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island 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 Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.