CRESETTI DRUG CORP (NPI# 1376546820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376546820 |
| Entity Type | Organization |
| Organization Name | CRESETTI DRUG CORP |
| Practice Address |
454 5th Ave Brooklyn NY 11215-4003 |
| Practice Telephone | 7187680600 |
| Practice Fax Number | 7188322912 |
| Mailing Telephone | 7187680600 |
| Mailing Fax Number | 7188322912 |
| Enumeration Date | 2005-05-28 |
| Last Update Date | 2018-02-27 |
| Authorized Official Name | MR. THOMAS CHRISTOPHER SUTHERLAND (PHARMACIST) |
| Authorized Official Telephone | 7187680600 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 019466 | NY | Suppliers |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
019466 | NY | Suppliers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 333600000X | Pharmacy | 019466 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01022637 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CRESETTI DRUG CORP. | 454 5th Ave, Brooklyn, New York 11215 |
| Street Address |
454 5TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11215-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962962738 | Allen Bradley Chernenkoff | Pharmacist | 454 5th Ave, Brooklyn, NY 11215-4003 | 2019-03-20 |
| 1053683284 | Camille H Small | Pharmacist | 454 5th Ave, Brooklyn, NY 11215-4003 | 2012-02-03 |
| 1174847503 | Robert Charles Krauss | Pharmacist | 454 5th Ave, Brooklyn, NY 11215-4003 | 2010-03-14 |
| 1124350608 | Thomas Christopher Sutherland | Pharmacist | 454 5th Ave, Brooklyn, NY 11215-4003 | 2010-02-08 |
| 1235344003 | Rosemarie Tomassetti | Pharmacist | 454 5th Ave, Brooklyn, NY 11215-4003 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493584 | Lakshmi Menon | Student in an Organized Health Care Education/Training Program | 506 6th Street, New York-presbyterian Brooklyn Methodis, Brooklyn, NY 11215 | 2020-06-26 |
| 1083234785 | Yalda Hazrat | Student in an Organized Health Care Education/Training Program | 5066th Street, Brooklyn, NY 11215 | 2020-04-22 |
| 1548815384 | Brittany Dalbow | Counselor | 732 Carroll Street, Garden Apt, Brooklyn, NY 11215 | 2019-08-08 |
| 1669032504 | Bilal Ghassan Jaradat | Student in an Organized Health Care Education/Training Program | 506 6th St, Nyp Brooklyn Methodist Hospital, Brooklyn, NY 11215 | 2019-06-13 |
| 1598322547 | Abeer Ashfaq | Student in an Organized Health Care Education/Training Program | 506 6th Street, New York Presbyterian Brooklyn Methodis, Room 3113, Brooklyn, NY 11215 | 2019-05-24 |
| 1508422809 | Racha Cassard | Student in an Organized Health Care Education/Training Program | Nyp Brooklyn Methodist Hospital, 506 6th St, Brooklyn, NY 11215 | 2019-05-13 |
| 1972066884 | Nourhan Arafa Kika | Student in an Organized Health Care Education/Training Program | Nyp Brooklyn Methodist Hospital 506 6th St, New York - Brooklyn, NY 11215 | 2019-04-08 |
| 1891258703 | Mountasir El-tohami | Student in an Organized Health Care Education/Training Program | New York-presbyterian Brooklyn Methodist Hospital, 506 Sixth Street, Brooklyn, NY 11215 | 2019-04-08 |
| 1386106938 | Anita Krish | Student in an Organized Health Care Education/Training Program | Newyork-presbyterian Brooklyn Methodist Hospital, 506 6th St, Brooklyn, NY 11215 | 2019-04-03 |
| 1497237549 | Elizabeth Hopkins | Social Worker | 439 9th Street, Suite 1a, Brooklyn, NY 11215 | 2018-09-05 |
| Find all providers in zip 11215 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
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|---|---|---|---|---|
| 1023625548 | Otc Group LLC | Pharmacy | 2792 Ocean Ave Unit 5, Brooklyn, NY 11229-4730 | 2020-09-29 |
| 1811513724 | Link Pharmacy | Pharmacy | 456 Avenue P, Brooklyn, NY 11223-2895 | 2020-06-17 |
| 1801435144 | Healthrx Inc | Pharmacy | 82 Church Ave, Brooklyn, NY 11218-2208 | 2020-01-03 |
| 1851947139 | Truepill Ny LLC | Pharmacy | 850 3rd Ave Ste 404, Brooklyn, NY 11232-1523 | 2019-08-13 |
| 1073177309 | Chemix, Inc. | Pharmacy | 5909 18th Ave, Brooklyn, NY 11204-2202 | 2019-04-22 |
| 1700350717 | Forever Health Pharmacy II, LLC | Pharmacy | 7224 18th Ave, Brooklyn, NY 11204-5632 | 2019-01-14 |
| 1891266771 | Square Pharmacy Inc. | Pharmacy | 8400 Flatlands Ave, Brooklyn, NY 11236-3508 | 2018-12-17 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1790267961 | Christy Mei | Pharmacy | 1574 64th St, Brooklyn, NY 11219-5730 | 2018-09-04 |
| 1528549292 | Oceania Chemist Inc | Pharmacy | 388 Neptune Ave, Brooklyn, NY 11235 | 2018-08-22 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.