NPIMap

Organization Active NPI

Nostrand Pharma LLC

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1962755306
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031768 Issued in NY
Legal business name
NOSTRAND PHARMA LLC
Practice address
524 Nostrand Ave
Brooklyn, NY 11216-2012
Phone
(718) 230-3009
Fax
(718) 230-3110
NPI assigned
Oct 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Authorized official

Name
Vijay Vasireddy
Title
Owner
Phone
(718) 230-3009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 031768 NY Primary

Addresses

Primary practice location

524 Nostrand Ave
Brooklyn, NY 11216-2012

Mailing address

524 Nostrand Ave
Brooklyn, NY 11216-2012
Phone (718) 230-3009

Other identifiers 2

IdentifierTypeStateIssuer
03511451MedicaidNY
2139500OtherPK

Other names 1

  • ThriftCare Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1962755306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162012",
            "telephone_number": "718-230-3009",
            "fax_number": "718-230-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162012",
            "telephone_number": "718-230-3009",
            "fax_number": "718-230-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOSTRAND PHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "VASIREDDY",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-230-3009"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03511451",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ThriftCare 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 Oct 12, 2015; 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.