Lincoln Place Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

023440 Issued in NY

Legal business name

LINCOLN PLACE PHARMACY INC

Doing business as

Lincoln Place Pharmacy

Practice address

1135 Eastern Pkwy
Brooklyn, NY 11213-4107

Phone

(718) 756-1717

Fax

(718) 604-1400

NPI assigned

Sep 20, 2006

Last updated

Dec 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yawer Iqbal

Title

Manager

Phone

(718) 756-1717

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LINCOLN PLACE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Lincoln Place Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lincoln Place Pharmacy Inc

  dba Lincoln Place Pharmacy LTC

  • Long Term Care Pharmacy
  • Brooklyn, NY
  • NPI 1639951965
  NPD tax ID

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1922105857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 EASTERN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134107",
            "telephone_number": "718-756-1717",
            "fax_number": "718-604-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 EASTERN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134107",
            "telephone_number": "718-756-1717",
            "fax_number": "718-604-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PLACE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "YAWER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-756-1717"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "023440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02269634",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2058914",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LINCOLN PLACE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Marcelle Lincer, M.S., CF-SLP, TSSLD
• Lincoln Care Pharma Inc
• Lincoln Neighborhood Pharmacy Inc
• Lincoln Pharma Inc
• Lincoln Place Pharmacy Inc (Lincoln Place Pharmacy LTC)
• Joel Alan Lincoln, MD
• Priscilla Page Lincoln, PSYCHIATRIC NP
• Anne Lind
• Linda E Ednalino MD PC
• Linda R Montas PT., 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 Dec 2, 2016; 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.