Nates Specialty Pharmacy Corp

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

030093 Issued in NY

Legal business name

NATES SPECIALTY PHARMACY CORP

Practice address

2304 Nostrand Ave
Brooklyn, NY 11210-3840

Phone

(718) 338-0709

Fax

(718) 338-3880

NPI assigned

May 20, 2010

Organization subpart

No

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

Authorized official

Name

Boris Natenzon

Title

President

Phone

(917) 734-4662

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Nates Specialty Pharmacy and Surgical Supplies 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.

• Irina Bykova, PH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1427231992
  NPD (past)

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1962721688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 BROADWAY",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102804",
            "telephone_number": "718-720-3710",
            "fax_number": "718-360-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103840",
            "telephone_number": "718-338-0709",
            "fax_number": "718-338-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATES SPECIALTY PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "NATENZON",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-734-4662"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NY",
            "license": "030093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03250222",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5800215",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nates Specialty Pharmacy and Surgical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Boris David Natapov, DDS
• Aasritha Natarajan
• Natasha Thomas LLC
• Natavin Service Inc
• Samantha Natelson
• Jaya Nath, M.D.
• Judy H Nath, RN
• Lovely Nath
• Priyanka Nath, M.D.
• Sandy Simcha Nath, MD

• Compounding Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Compounding Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.