80TH STREET PHARMACY INC (NPI# 1861750523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861750523 |
| Entity Type | Organization |
| Organization Name | 80TH STREET PHARMACY INC |
| Other Organization Name | PURE HEALTH PHARMACY |
| Practice Address |
8014 18th Ave Brooklyn NY 11214-1706 |
| Practice Telephone | 7182362747 |
| Practice Fax Number | 7182362723 |
| Mailing Telephone | 7182362747 |
| Mailing Fax Number | 7182362723 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2016-10-14 |
| Authorized Official Name | ERIC BOKMAN (PRESIDENT) |
| Authorized Official Telephone | 7182362747 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
031140 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2135172 | 01 |
| Other Name | Type Code |
|---|---|
| Pure Health Pharmacy | Doing Business As Name - Organization |
| Street Address |
8014 18TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11214-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164991790 | Pure Health Pharmacy LLC | Pharmacy | 8014 18th Ave, Brooklyn, NY 11214-1706 | 2018-11-13 |
| 1750865937 | Kevin Tan | Pharmacy | 8014 18th Ave, Brooklyn, NY 11214-1706 | 2018-09-24 |
| 1255684791 | Shu Mei Deng | Pharmacist | 8014 18th Ave, Brooklyn, NY 11214-1706 | 2012-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763440 | Safe Reach Pt P.C. | Physical Therapist | 331 Bay 14th Street, Fl.#1, Brooklyn, NY 11214 | 2020-06-04 |
| 1891325353 | Mahmoud Ali | Physical Therapist | 96 28th Avenue 3rd Floor, Brooklyn, NY 11214 | 2020-01-23 |
| 1407370489 | Georgette Neglia | Counselor | 195 Bay 19th Street, Brooklyn, NY 11214 | 2017-08-01 |
| 1063936151 | Ummat Pharmacy Inc | Pharmacy | 8719 18th Avenue, Brooklyn, NY 11214 | 2017-07-31 |
| 1518489293 | S&j Pegasus Inc | PACE Provider Organization | 8754 Bay 16th Street, Cellular Floor, Brooklyn, NY 11214 | 2017-07-13 |
| 1063934909 | Edita Greben | Speech-Language Pathologist | 8823 23rd Avenue, 3rd Floor, Brooklyn, NY 11214 | 2017-07-12 |
| 1649791104 | Rachel Sandler | Religious Nonmedical Nursing Personnel | 79- 20th Avenue, Brooklyn, NY 11214 | 2017-07-05 |
| 1003343849 | Catholic Charities Brooklyn and Queens | Case Management | 190 Bay Street, Brooklyn, NY 11214 | 2017-05-11 |
| 1447785316 | Four Season Medical Pllc | Internal Medicine | 2044 86th Street, Brooklyn, NY 11214 | 2017-04-27 |
| 1134669716 | Uhealthy Pharmacy Inc. | Pharmacy | 2263 86th Street, Brooklyn, NY 11214 | 2017-03-02 |
| Find all providers in zip 11214 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890878 | Corner Pharmacy Myrtle | Pharmacy | 680 Myrtle Ave, Brooklyn, NY 11205-4119 | 2020-10-28 |
| 1124627302 | Elite Pharmacy Inc. | Pharmacy | 614a Grand St, Brooklyn, NY 11211-4802 | 2020-10-20 |
| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1043817463 | Angella Samson | Pharmacy | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-08 |
| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| 1649885047 | Tree of Life Rx Inc | Pharmacy | 2472 Coney Island Ave, Brooklyn, NY 11223-5022 | 2020-09-11 |
| 1083227235 | Premium Health Inc | Pharmacy | 4510 16th Ave Fl 3, Brooklyn, NY 11204-1101 | 2020-08-27 |
| 1518579952 | Nostrand Drugs Rx Inc | Pharmacy | 385 Nostrand Ave, Brooklyn, NY 11216-1701 | 2020-08-18 |
| 1134738115 | Utica Express Pharmacy Inc | Pharmacy | 190 Utica Ave, Brooklyn, NY 11213-2939 | 2020-07-27 |
| 1609485895 | A5 Pharmacy Inc. | Pharmacy | 5323 7th Ave, Brooklyn, NY 11220-3120 | 2020-07-23 |
| 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.