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MYRTLE RX LLC NPI 1902185366


NPI Information

NPI: 1902185366
Provider Name: MYRTLE RX LLC

Doing Business As: MYRTLE DRUGS

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1454 MYRTLE AVE
BROOKLYN, NY
ZIP 11237
Phone: (718) 453-6200
Get Directions

MYRTLE RX LLC is a community/retail pharmacy pharmacy in Brooklyn, NY. The provider is 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. MYRTLE RX LLC NPI is 1902185366. The provider is registered as an organization entity type.
The provider Is Doing Business As Myrtle Drugs.

The provider's business location address is:

1454 MYRTLE AVE
BROOKLYN, NY
ZIP 11237-102
Phone: (718) 453-6200
Fax: (718) 455-3226

The provider's authorized official is Pete Sutaria .
The authorized official title is Member and has the following contact phone number (718) 453-6200.

The enumeration date for this NPI number is 8/16/2011 and was last updated on 9/22/2016.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy031019NEW 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
12133119OTHERPK
203361300MEDICAIDNEW YORK
36655830001MEDICARE NSC

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

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