Active NPI
La Ruche Pharmacy,Inc
- Community/Retail Pharmacy
- Brooklyn, NY
National Provider Identifier
1912945569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 019596
- Legal business name
- LA RUCHE PHARMACY,INC
- Practice address
- 494 Rockaway Pkwy
Brooklyn, NY 11212-3248 - Phone
- (718) 485-6923
- Fax
- (718) 922-3287
- NPI assigned
- Jun 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sunil B Patel
- Title
- President
- Phone
- (718) 485-6923
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 019596 | NY | Primary |
Addresses
Primary practice location
494 Rockaway Pkwy
Brooklyn, NY 11212-3248
Mailing address
494 Rockaway Pkwy
Brooklyn, NY 11212-3248
Phone (718) 485-6923
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3390755 | Other | NABP NUMBER | |
| 01048379 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220818002994 | NY | Part B Supplier - Pharmacy | 4385859701 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider DirectoryLocations
494 Rockaway Pkwy
Brooklyn, NY 11212
Phone (718) 485-6923
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Brooklyn, NY
- NPI 1548592231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201824000000",
"number": "1912945569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "494 ROCKAWAY PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112123248",
"telephone_number": "718-485-6923",
"fax_number": "718-922-3287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "494 ROCKAWAY PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112123248",
"telephone_number": "718-485-6923",
"fax_number": "718-922-3287"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA RUCHE PHARMACY,INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2008-02-01",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "SUNIL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-485-6923"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "019596",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP NUMBER",
"identifier": "3390755",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01048379",
"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 Feb 1, 2008; 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.