Thriftway Foster Ave. Drug Corp

Primary specialty

PharmacyTaxonomy code 333600000X

License

027122 Issued in NY

Legal business name

THRIFTWAY FOSTER AVE. DRUG CORP

Practice address

1717 Foster Ave
Brooklyn, NY 11230-1809

Phone

(718) 724-1717

Fax

(718) 859-4688

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Alex Perchuk, RPH

Title

Corp. Secy

Phone

(718) 835-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Thriftway Pharmacy Doing business as

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1932106366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 FOSTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301809",
            "telephone_number": "718-724-1717",
            "fax_number": "718-859-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 FOSTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301809",
            "telephone_number": "718-724-1717",
            "fax_number": "718-859-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIFTWAY FOSTER AVE. DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "PERCHUK",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CORP. SECY",
        "authorized_official_telephone_number": "718-835-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "027122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02640233",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thriftway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.