HAVEN PHARMACY NPI 1811903594

NPI Information

  • NPI: 1811903594
  • Provider Name: HAVEN PHARMACY
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: PANACEA PHARMACY
  • Address: 1211 AVENUE U
    BROOKLYN, NY
    ZIP 11229
  • Phone: (718) 382-9616

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NPI Details

HAVEN PHARMACY 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. HAVEN PHARMACY NPI is 1811903594. The provider is registered as an organization entity type.
The provider Is Doing Business As Panacea Pharmacy.

The provider's business location address is:

1211 AVENUE U
BROOKLYN, NY
ZIP 11229-108
Phone: (718) 382-9616
Fax: (718) 382-9615

The provider's authorized official is Viktoria Grinblat .
The authorized official title is Rph, Sp, Secretary and has the following contact phone number (718) 382-9616.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 9/30/2009.

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
13336C0003XPharmacyCommunity/Retail Pharmacy025828NEW 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
102384316MEDICAIDNEW YORK
24829830001MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
33331307OTHERNEW YORKNCPDP

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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