| NPI | 1104925452 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-09-22 |
| Last Updated | 2011-10-04 |
| Authorized Official | Jennifer Zorek MANAGER ONLINE ADJUDICATION Phone: 7179755937 |
| Mailing Address | 200 Newberry Commons Etters, PA 17319-9363 United States Phone: (717) 761-2633 | Fax: (717) 975-8659 📍 View Map |
| Primary Practice Address | 2064 Mill Avenue Brooklyn, NY 11234-5922 United States Phone: (718) 531-0408 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NY | 01508901 | - |
| Other (non-Medicare) | - | 3347019 | Other ID Number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | NY | 022141 |
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About NPI 1104925452
Genovese Drug Stores Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1104925452. The primary specialty listed is Pharmacy, Community/Retail 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 2006-09-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104925452?
NPI 1104925452 belongs to Genovese Drug Stores Inc, a Pharmacy, Community/Retail Pharmacy in Brooklyn, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104925452 active?
The current status of NPI 1104925452 in the NPPES registry is Active. The record was last updated on 2011-10-04.
What specialty is NPI 1104925452?
NPI 1104925452 is classified under the taxonomy Pharmacy, Community/Retail 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 1104925452?
You can verify NPI 1104925452 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 1104925452?
The primary practice address on file for NPI 1104925452 is 2064 Mill Avenue, Brooklyn, NY 11234-5922. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104925452 issued?
NPI 1104925452 was first issued (enumerated) on 2006-09-22. The NPPES record was last updated on 2011-10-04.
Practice Location Map
Genovese Drug Stores Inc is located at 2064 Mill Avenue, Brooklyn, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Genovese Drug Stores Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104925452. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 022141 | NY |