Organization Active NPI

Ideal Pharmacy Inc.

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1902947948
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
018181 Issued in NY
Legal business name
IDEAL PHARMACY INC.
Practice address
5409 5TH Ave
Brooklyn, NY 11220-3112
Phone
(718) 439-5900
Fax
(718) 439-3697
NPI assigned
Feb 11, 2007
Last updated
Jan 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Mr. Ismat Ullah Chaudhary, RPHNPI 1275856254
Title
President
Phone
(917) 892-3928

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
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 018181 NY Primary

Addresses

Primary practice location

5409 5TH Ave
Brooklyn, NY 11220-3112

Mailing address

5409 5TH Ave
Brooklyn, NY 11220-3112
Phone (718) 439-5900

Other identifiers 2

IdentifierTypeStateIssuer
3380196OtherNYNCPDP
00835245MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930023797 NY DME Supplier - Pharmacy 2062618283 Practice locations: Brooklyn, NY
O20210319002006 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2062618283 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
Ideal Pharmacy Inc.5409 5TH Ave, Brooklyn, NY 11220-3112(718) 439-5900 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Re… Does not accept assignmentParticipating since Jan 7, 2008

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1171152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1902947948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203112",
            "telephone_number": "718-439-5900",
            "fax_number": "718-439-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203112",
            "telephone_number": "718-439-5900",
            "fax_number": "718-439-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-11",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "CHAUDHARY",
        "authorized_official_first_name": "ISMAT",
        "authorized_official_middle_name": "ULLAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-892-3928",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "018181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3380196",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00835245",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 21, 2020; 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.