63 LEE AVE PHARMACY INC NPI 1710002878

NPI Information

NPI: 1710002878
Provider Name: 63 LEE AVE PHARMACY INC

Doing Business As: STUART SLATER PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
63 LEE AVE
BROOKLYN, NY
ZIP 11211
Phone: (718) 387-2852
Get Directions

63 LEE AVE PHARMACY INC is a pharmacy in Brooklyn, NY. The provider is 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. 63 LEE AVE PHARMACY INC NPI is 1710002878. The provider is registered as an organization entity type.
The provider Is Doing Business As Stuart Slater Pharmacy.

The provider's business location address is:

63 LEE AVE
BROOKLYN, NY
ZIP 11211-213
Phone: (718) 387-2852
Fax: (718) 388-4376

The provider's authorized official is Stuart Slater .
The authorized official title is Pres Sph and has the following contact phone number (718) 387-2852.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 3/8/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		013502	NEW YORK	No
2	333600000X	Pharmacy		013502	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3326902	OTHER	NEW YORK	NABP
2	3326902	OTHER	NEW YORK	NCPDP NUMBER
3	4533080001	MEDICARE NSC	NEW YORK
4	00268644	MEDICAID	NEW 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: 4/28/2024

NPI Synchronization or Removal

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