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Export Provider Record NPI 1033108311
Starrett City Pharmacy, Llc
Organization Subpart: NO
Active
NPI Number1033108311
NPI TypeNPI-2 Organization
SpecialtyPharmacy
Provider Details
NPI1033108311
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2005-10-19
Last Updated2020-08-22
Authorized OfficialIgor Vaysbaum
president
Phone: 7182578777
Mailing Address1110 Pennsylvania Ave, Suite # 12
Brooklyn, NY 11207-9061
United States
Phone: (718) 257-8777 | Fax: (718) 257-8884
📍 View Map
Primary Practice Address1110 Pennsylvania Ave
Brooklyn, NY 11207-9061
United States
Phone: (718) 257-8777 | Fax: (718) 257-8884
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNY02168005-
Other (non-Medicare)NY3322308ncdp
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes333600000X – PharmacyNY025076
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About NPI 1033108311

Starrett City Pharmacy, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1033108311. The primary specialty listed is Pharmacy. The organization is located in Brooklyn, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-10-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1033108311?

NPI 1033108311 belongs to Starrett City Pharmacy, Llc, a Pharmacy in Brooklyn, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1033108311 active?

The current status of NPI 1033108311 in the NPPES registry is Active. The record was last updated on 2020-08-22.

What specialty is NPI 1033108311?

NPI 1033108311 is classified under the taxonomy Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1033108311?

You can verify NPI 1033108311 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1033108311?

The primary practice address on file for NPI 1033108311 is 1110 Pennsylvania Ave, Brooklyn, NY 11207-9061. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1033108311 issued?

NPI 1033108311 was first issued (enumerated) on 2005-10-19. The NPPES record was last updated on 2020-08-22.

Practice Location Map

Starrett City Pharmacy, Llc is located at 1110 Pennsylvania Ave, Brooklyn, NY. Use the map below to find directions or verify the practice location.

📍 1110 Pennsylvania Ave, Brooklyn, NY 11207-9061  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Starrett City Pharmacy, Llc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1033108311. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy025076NY
Data Verified from CMS NPPES Last synced: 2026-07-26 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162