Organization Active NPI

Carewell Pharmacy Services Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1932697216
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
036519 Issued in NY
Legal business name
CAREWELL PHARMACY SERVICES INC
Doing business as
Carewell Pharmacy
Practice address
2259 Church Ave
Brooklyn, NY 11226-3201
Phone
(718) 676-4114
Fax
(718) 228-8786
NPI assigned
Apr 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Muhammad Tuqeer Ajmal, PHARMD
Title
President
Phone
(518) 960-7582

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 036519 NY Primary
Managed Care Organization Pharmacy 3336M0003X

Addresses

Primary practice location

2259 Church Ave
Brooklyn, NY 11226-3201

Mailing address

2259 Church Ave
Brooklyn, NY 11226-3201
Phone (718) 676-4114

Other identifiers 1

IdentifierTypeStateIssuer
2177333OtherPK

Other names 1

  • Carewell Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211214000522 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7719224997 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1932697216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2259 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112263201",
            "telephone_number": "718-676-4114",
            "fax_number": "718-228-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2259 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112263201",
            "telephone_number": "718-676-4114",
            "fax_number": "718-228-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREWELL PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "AJMAL",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "TUQEER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-960-7582",
        "authorized_official_credential": "PHARMD"
    },
    "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": "036519",
            "primary": true
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177333",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carewell Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 8, 2021; 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.