Ymd Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031062 Issued in NY

Legal business name

YMD PHARMACY, INC.

Doing business as

YMD Pharmacy, Inc.

Practice address

519 Utica Ave
Store # 3
Brooklyn, NY 11203-1916

Phone

(718) 221-6814

Fax

(718) 221-6815

NPI assigned

Jan 20, 2012

Organization subpart

No

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

Authorized official

Name

Mo A Dalia

Title

Manager - Owner

Phone

(718) 221-6814

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• YMD Pharmacy, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1962773051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 UTICA AVE",
            "address_2": "STORE # 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031916",
            "telephone_number": "718-221-6814",
            "fax_number": "718-221-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 UTICA AVE",
            "address_2": "STORE # 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031916",
            "telephone_number": "718-221-6814",
            "fax_number": "718-221-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YMD PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "DALIA",
        "authorized_official_first_name": "MO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER - OWNER",
        "authorized_official_telephone_number": "718-221-6814"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5804174",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03432611",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962773051",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YMD Pharmacy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "YMD Pharmacy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.