115 IRVING AVE PHARMACY INC (NPI# 1932265642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932265642 |
| Entity Type | Organization |
| Organization Name | 115 IRVING AVE PHARMACY INC |
| Other Organization Name | ATLANTIC PHARMACY & SURGICAL SUPPLIES |
| Practice Address |
1706b Atlantic Ave Brooklyn NY 11213-1206 |
| Practice Telephone | 7184842260 |
| Practice Fax Number | 7184842261 |
| Mailing Telephone | 7184842260 |
| Mailing Fax Number | 7184842261 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2017-04-24 |
| Authorized Official Name | DEVANG RAVAL (PHARMACY MANAGER) |
| Authorized Official Telephone | 7184842260 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
035113 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2062245 | 01 | |
| NY | 00833192 | 05 |
| Other Name | Type Code |
|---|---|
| ATLANTIC PHARMACY & SURGICAL SUPPLIES | Doing Business As Name - Organization |
| Street Address |
1706B ATLANTIC AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11213-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972690956 | P & P Drugs Inc | Pharmacy | 1706b Atlantic Ave, Brooklyn, NY 11213-1206 | 2006-10-09 |
| 1477010593 | Jfl Pharmacy Inc. | Pharmacy | 1706b Atlantic Ave, Brooklyn, NY 11213-1206 | 2019-02-25 |
| 1588988463 | Stephanie Michel | Pharmacist | 1706b Atlantic Ave, Brooklyn, NY 11213-1206 | 2010-03-21 |
| 1104001817 | Devang Laheri Raval | Pharmacist | 1706b Atlantic Ave, Brooklyn, NY 11213-1206 | 2008-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885262 | Zaire Hairston | Counselor | 1625 President Street Brooklyn, Ny 11213 Apt 3a, 1625 President Street Brooklyn, Ny 11213 Apt 3a, Brooklyn, NY 11213 | 2020-06-09 |
| 1447801394 | Rron Lleshi | Physician Assistant | 1635 Union Street, Apt 1a, Brooklyn, NY 11213 | 2019-09-23 |
| 1639723174 | Jamie Zena Morris | Licensed Vocational Nurse | 1372 Sterling Pl B2, Brooklyn, NY 11213 | 2019-08-01 |
| 1073097572 | Mariia Tonkonog | Specialist | 878 Easetern Pkwy, Brooklyn, NY 11213 | 2018-09-20 |
| 1114413234 | Rimma Salganik | Social Worker | Bright Futures for The Children, 119 Schenectady Ave, Brooklyn, NY 11213 | 2018-07-02 |
| 1861980138 | Ibrahim Elkattawy | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave # 11213, Brooklyn, NY 11213 | 2018-04-23 |
| 1528571858 | Rivkah Shuchat | Physical Therapist | Homecare, Brooklyn, NY 11213 | 2017-11-08 |
| 1356854699 | Lisa Watler | Physical Therapy Assistant | 1470 Union Street, Brooklyn, NY 11213 | 2017-11-08 |
| 1962914713 | Rockaway Ave Pharmacy Inc | Pharmacist | 226 Schenectady Ave, Brooklyn, NY 11213 | 2017-11-02 |
| 1649796152 | Janet Agbaku | Registered Nurse | 893 Eastern Parkway, Fl 2, Brooklyn, NY 11213 | 2017-08-16 |
| Find all providers in zip 11213 | ||||
| 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.