Organization Active NPI

Purge Health Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1962215061
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PURGE HEALTH PHARMACY INC
Practice address
10419 Glenwood Road
Brooklyn, NY 11236
Phone
(347) 462-9497
Fax
(347) 629-9499
NPI assigned
Jan 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
James Desiral
Title
President
Phone
(347) 615-9275

Specialties & licenses 1

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

Addresses

Primary practice location

10419 Glenwood Road
Brooklyn, NY 11236

Mailing address

10419 Glenwood Road
Brooklyn, NY 11236
Phone (347) 462-9497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250501002201 NY Part B Supplier - Pharmacy 0345766432 Practice locations: Brooklyn, NY
O20250509002517 NY DME Supplier - Pharmacy 0345766432 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Purge Health Pharmacy Inc10419 Glenwood Rd, Brooklyn, NY 11236-2705(347) 462-9497 Nebulizer Drugs Does not accept assignmentParticipating since Mar 25, 2025

National Provider Directory

National Provider Directory

Locations

10419 Glenwood Rd
Brooklyn, NY 11236
Phone (347) 462-9497

NPI Registry JSON

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1962215061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10419 GLENWOOD ROAD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11236",
            "telephone_number": "347-462-9497",
            "fax_number": "347-629-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10419 GLENWOOD ROAD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11236",
            "telephone_number": "347-462-9497",
            "fax_number": "347-629-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURGE HEALTH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "DESIRAL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-615-9275"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.