Blondell RX Ny LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

BLONDELL RX NY LLC

Practice address

1047 Surf Ave FL 2
Brooklyn, NY 11224-2810

Phone

(718) 819-5249

Fax

(917) 722-0851

NPI assigned

Jun 8, 2017

Organization subpart

No

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

Authorized official

Name

Maya Basin

Title

Pic

Phone

(718) 819-5249

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Blondell RX Ny LLC

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1003148321

  9032526603

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Blondell RX Ny LLC

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1003148321

  O20210326000403

  Same enrollment
• Blondell RX Ny LLC

  • Long Term Care Pharmacy
  • Bronx, NY
  • NPI 1356965636

  O20210326000403

  Same enrollment

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

Tax ID family

Blondell RX Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Blondell RX Ny LLC

  • Long Term Care Pharmacy
  • Bronx, NY
  • NPI 1356965636
  NPD tax ID

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1992234454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 SURF AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242810",
            "telephone_number": "212-249-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 SURF AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242810",
            "telephone_number": "718-819-5249",
            "fax_number": "917-722-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLONDELL RX NY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "BASIN",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "718-819-5249"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05730387",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Mark Block, NCGC II
• Ilya A Blokh, M.D.
• Menachem Mendel Blokh
• Carol Rose Blomquist, M.S. CCC/SLP
• Stephanie Blomquist
• Cheryl J Blonstein, PSYD
• Bloom Mind Inc
• Bloom OT
• Bloom Senior Care Center Inc
• Bloom Therapy Mental Health Counseling PLLC

• Long Term Care Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.