STARRETT CITY PHARMACY LLC NPI 1033108311

NPI Information

  • NPI: 1033108311
  • Provider Name: STARRETT CITY PHARMACY, LLC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Address: 1110 PENNSYLVANIA AVE
    BROOKLYN, NY
    ZIP 11207
  • Phone: (718) 257-8777

Map and Directions

Get Directions

NPI Details

STARRETT CITY PHARMACY, LLC 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. STARRETT CITY PHARMACY, LLC NPI is 1033108311. The provider is registered as an organization entity type.

The provider's business location address is:

1110 PENNSYLVANIA AVE
BROOKLYN, NY
ZIP 11207-061
Phone: (718) 257-8777
Fax: (718) 257-8884

The provider's authorized official is Igor Vaysbaum .
The authorized official title is President and has the following contact phone number (718) 257-8777.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
  • Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose (HCPCS:0012A)
  • Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose (HCPCS:0001A)
  • Adm sarscov2 30mcg/0.3ml 3rd (HCPCS:0003A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)

The enumeration date for this NPI number is 10/19/2005 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy025076NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102168005MEDICAIDNEW YORK
23322308OTHERNEW YORKNCDP

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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI