Medly Pharmacy Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

023399 Issued in NY

Legal business name

MEDLY PHARMACY INC.

Doing business as

Medly Pharmacy

Practice address

31 Debevoise St
Brooklyn, NY 11206-4196

Phone

(718) 782-7539

Fax

(718) 782-7951

NPI assigned

Dec 18, 2005

Last updated

May 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alison Farrell

Title

SVP Pharmacy Services

Phone

(717) 254-9011

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• Medly Pharmacy Doing business as
• Borinquen Pharmacy Inc. Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Kalodis

  • Pharmacist
  • Brooklyn, NY
  • NPI 1538469069
  NPD (past)
• Eileen Chen To, PHARMACIST

  • Pharmacist
  • Brooklyn, NY
  • NPI 1487630679
  NPD (past)

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

{
    "created_epoch": "1134864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1962488387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 DEBEVOISE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064196",
            "telephone_number": "718-782-7539",
            "fax_number": "718-782-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 DEBEVOISE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064196",
            "telephone_number": "718-782-7539",
            "fax_number": "718-782-7951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Graham Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112063320",
            "country_code": "US",
            "telephone_number": "718-782-7539",
            "fax_number": "718-782-7761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDLY PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-18",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "SVP PHARMACY SERVICES",
        "authorized_official_telephone_number": "717-254-9011"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "023399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "023399",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medly Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Borinquen Pharmacy Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Medisupport Solutions LLC
• Robert Meditz, MD
• Medixpro LLC
• Marlene Medley, R.D.
• Medlux Group Corp
• Bronislav Mednik
• Roslyn Medoff-Rivera, LPN
• Marie Yves Medor, LPN
• Inna Medow, LICENSED OPTICIAN
• Marsha Ellen Medows, M.D.

• 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 May 16, 2022; 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.