Ellery Street Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029503 Issued in NY

Legal business name

ELLERY STREET PHARMACY INC

Doing business as

Woodhull Drugs

Practice address

310 Ellery St
Brooklyn, NY 11206-5312

Phone

(718) 782-9345

Fax

(718) 782-3839

NPI assigned

Dec 30, 2008

Organization subpart

No

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

Authorized official

Name

Harinder Chhabra, RPHNPI 1386889830

Title

Vice President, Ao

Phone

(718) 782-9345

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Woodhull Drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Harinder Pal Chhabra

  • Pharmacist
  • Richmond Hill, NY
  • NPI 1386889830
  NPD Authorized official
• Sushil J Pai

  • Pharmacist
  • Jamaica, NY
  • NPI 1073860623
  NPD
• Ashok Rakhit

  • Pharmacist
  • Brooklyn, NY
  • NPI 1992940415
  NPD

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1912143686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 ELLERY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065312",
            "telephone_number": "718-782-9345",
            "fax_number": "718-782-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 ELLERY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065312",
            "telephone_number": "718-782-9345",
            "fax_number": "718-782-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLERY STREET PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "CHHABRA",
        "authorized_official_first_name": "HARINDER",
        "authorized_official_title_or_position": "VICE PRESIDENT, AO",
        "authorized_official_telephone_number": "718-782-9345",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029503",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3093698",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120855",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodhull Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ellen Pan MD PC
• David Ellenberg, MD
• Rachel Ellenberg
• Angela Ellerman, MD
• Dorothea Ellern, LMSW
• Breanna Elleston
• Donnette Ellington
• Jenna Ellington, LMSW
• Judy Ellinson
• Elliot L Bass DPM, PC

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.