Organization Active NPI

Dky Enterprises Inc.

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1962569574
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DKY ENTERPRISES INC.
Doing business as
8th Ave Pharmacy
8th Avenue Pharmacy
Practice address
5504 8TH Ave
Brooklyn, NY 11220-3516
Phone
(718) 438-3838
Fax
(718) 438-8756
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Timmy Lang, PHARMD
Title
President
Phone
(718) 438-3838

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 1835G0303X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

5504 8TH Ave
Brooklyn, NY 11220-3516

Mailing address

5504 8TH Ave
Brooklyn, NY 11220-3516
Phone (718) 438-3838

Other identifiers 2

IdentifierTypeStateIssuer
01268611MedicaidNY
020951OtherNYPHARMACY LICENSE

Other names 2

  • 8th Ave Pharmacy Doing business as
  • 8th Avenue Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20100930071542 NY DME Supplier - Pharmacy 3678780954 Practice locations: Brooklyn, NY
O20201209002733 NY Part B Supplier - Mass Immunization (Roster Biller Only) 3678780954 Practice locations: Brooklyn, NY
O20220824000273 NY Part B Supplier - Independent Clinical Laboratory 3678780954 Practice locations: Brooklyn, NY
O20240515000888 NY Part B Supplier - Pharmacy 3678780954 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D22642418TH Ave Pharmacy5504 8TH Ave, Brooklyn, NY 11220Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
8TH Ave Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1962569574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203516",
            "telephone_number": "718-438-3838",
            "fax_number": "718-438-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203516",
            "telephone_number": "718-438-3838",
            "fax_number": "718-438-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DKY ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "TIMMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-438-3838",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Geriatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01268611",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "020951",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "8th Ave Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "8th Avenue 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 Sep 27, 2024; 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.