Bay Ridge Specialty Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029206 Issued in NY

Legal business name

BAY RIDGE SPECIALTY PHARMACY, LLC

Practice address

7618 5TH Ave
Brooklyn, NY 11209-3304

Phone

(718) 745-6800

Fax

(718) 745-6850

NPI assigned

Feb 17, 2009

Organization subpart

No

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

Authorized official

Name

Igor Grabov

Title

Managing Member

Phone

(718) 745-6800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bayridge Specialty Pharmacy, LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Argyro Portelos, R.PH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1326361817
  NPD (past)

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1942449822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7618 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7618 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093304",
            "telephone_number": "718-745-6800",
            "fax_number": "718-745-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY RIDGE SPECIALTY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "GRABOV",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "718-745-6800"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3360106",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayridge Specialty Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bay Ridge RX Inc
• Bay Ridge Services Inc
• Bay Ridge Skin and Cancer Dermatology, PC
• Bay Ridge Sleep Experts Lab, Inc
• Bay Ridge Smiles
• Bay Ridge Sunset Park Dialysis Center
• Bay Ridge Surgi-Center LLC
• Bay Ridge Urology Associates
• Bay Ridge Vision Center LLC
• Bay Ridge Vision Center LLC

• 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 Mar 17, 2009; 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.