BOARDWALK RX CORP NPI 1093960056

NPI Information

  • NPI: 1093960056
  • Provider Name: BOARDWALK RX CORP
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: BOARDWALK RX CORP
  • Address: 3100 OCEAN PKWY
    BROOKLYN, NY
    ZIP 11235
  • Phone: (718) 996-7600

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NPI Details

BOARDWALK RX CORP 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. BOARDWALK RX CORP NPI is 1093960056. The provider is registered as an organization entity type.
The provider Is Doing Business As Boardwalk Rx Corp.

The provider's business location address is:

3100 OCEAN PKWY
BROOKLYN, NY
ZIP 11235-439
Phone: (718) 996-7600
Fax: (718) 996-7601

The provider's authorized official is Stanislav Dolinsky .
The authorized official title is President and has the following contact phone number (718) 996-7600.

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)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)

The enumeration date for this NPI number is 11/18/2008 and was last updated on 12/1/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy029236NEW 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
16175740001MEDICARE NSC
22118523OTHERPK
303081656MEDICAIDNEW 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: 11/21/2025

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