Organization Active NPI

Ashland Pharmacy Inc.

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1932245875
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020974 Issued in NY
Legal business name
ASHLAND PHARMACY INC.
Practice address
123 Dekalb Ave
Brooklyn, NY 11217-1237
Phone
(718) 834-9884
Fax
(718) 834-9567
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Mr. Edwin Omar Gbenebitse, R.PH,M.S
Title
Supervising Pharmacists-President
Phone
(718) 834-9884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 020974 NY Primary

Addresses

Primary practice location

123 Dekalb Ave
Brooklyn, NY 11217-1237

Mailing address

123 Dekalb Ave
Brooklyn, NY 11217-1237
Phone (718) 834-9884

Other identifiers 1

IdentifierTypeStateIssuer
3374802OtherNYNABP

National Provider Directory

National Provider Directory

Locations

123 DeKalb Ave
Brooklyn, NY 11217
Phone (718) 834-9884

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1932245875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171237",
            "telephone_number": "718-834-9884",
            "fax_number": "718-834-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171237",
            "telephone_number": "718-834-9884",
            "fax_number": "718-834-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLAND PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "GBENEBITSE",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "OMAR",
        "authorized_official_title_or_position": "SUPERVISING PHARMACISTS-PRESIDENT",
        "authorized_official_telephone_number": "718-834-9884",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH,M.S"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "020974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3374802",
            "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 20, 2011; 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.