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1413 FULTON ST PHARMACY CORP. NPI 1275664302


NPI Information

NPI: 1275664302
Provider Name: 1413 FULTON ST PHARMACY, CORP.
Classification: Pharmacist - 183500000X
Entity Type: Organization
Address:
1413 FULTON ST
BROOKLYN, NY
ZIP 11216
Phone: (718) 638-5088
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1413 FULTON ST PHARMACY, CORP. is a pharmacist in Brooklyn, NY. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. 1413 FULTON ST PHARMACY, CORP. NPI is 1275664302. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1413 FULTON ST
BROOKLYN, NY
ZIP 11216-607
Phone: (718) 638-5088
Fax: (516) 371-1814

The provider's authorized official is Robert Allan Berman .
The authorized official title is Tres. and has the following contact phone number (718) 638-5088.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacist015396NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100263185MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.