Luna Park Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

023200 Issued in NY

Legal business name

LUNA PARK PHARMACY INC

Doing business as

Luna Park Pharmacy

Practice address

2875 W 8TH St
Brooklyn, NY 11224-3601

Phone

(718) 946-5444

Fax

(718) 946-5355

NPI assigned

Sep 30, 2006

Last updated

Oct 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mikhail Fazylov

Title

Owner

Phone

(718) 974-9611

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LUNA PARK PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aaron S Tabi, R.PH.

  • Pharmacist
  • Brooklyn, NY
  • NPI 1497872485
  NPD

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1992898324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 W 8TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243601",
            "telephone_number": "718-946-5444",
            "fax_number": "718-946-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 W 8TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243601",
            "telephone_number": "718-946-5444",
            "fax_number": "718-946-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA PARK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "FAZYLOV",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-974-9611"
    },
    "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": "023200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2062588",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01788678",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUNA PARK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lumina Social Daycare LLC
• Luminary Therapy PLLC
• Luminmed Care LLC
• Tanisha Lumpkin, CPS
• Ashley Lynn Luna Gonzalez, M.S., CCC-SLP
• Jannitza D. Luna-Dilan
• Bryan Luna
• Christopher Luna
• Erik Benjamin Luna, L.C.S.W.
• Javier Bustllo Luna II, LMT

• Community/Retail Pharmacy in Brooklyn, NY
• 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 Oct 27, 2025; 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.