ST JUDES PHCY AND SURG SPLY CORP
NPI 1922178730
Pharmacy - Community/Retail Pharmacy in Brooklyn, NY

NPI Status: Active since November 09, 2006

Contact Information

121 SAINT NICHOLAS AVE
BROOKLYN, NY
ZIP 11237
Phone: (718) 381-5116
Fax: (718) 417-3621

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About ST JUDES PHCY AND SURG SPLY CORP

This page provides the complete NPI Profile along with additional information for St Judes Phcy And Surg Sply Corp, a provider established in Brooklyn, New York operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1922178730 assigned on November 2006. The practitioner's primary taxonomy code is 3336C0003X with license number 030756 (NY). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as St Judes Phcy And Surg Sply Corp. The authorized official of this NPI record is Mitchell Chervin (Supervising Phcst)

NPI
1922178730
Provider Legal Name
ST JUDE PHARMACY & SURGICAL SUPP
Other Organization Name
ST JUDES PHCY AND SURG SPLY CORP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
121 SAINT NICHOLAS AVE BROOKLYN, NY 11237
Location Phone
(718) 381-5116
Location Fax
(718) 417-3621
Mailing Address
121 SAINT NICHOLAS AVE BROOKLYN, NY 11237
Mailing Phone
(718) 381-5116
Mailing Fax
(718) 417-3621
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-09-2006
Last Update Date
10-03-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
030756
License State
NY
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1333600000XSuppliers

Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MITCHELL CHERVIN

Authorized Official Title
SUPERVISING PHCST
Authorized Official Phone
(718) 381-5116

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01061563MEDICAID (05)NY 
3391478OTHER (01)NCPDP PROVIDER IDENTIFICATION NUMBER
0453950001MEDICARE NSC (07) 

Reviews for ST JUDES PHCY AND SURG SPLY CORP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1922178730
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2942271676
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 2 + 7 + 1 + 6 + 7 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1922178730 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770814881 ANTHONY VICTOR WALTERS RPH
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)121 SAINT NICHOLAS AVE
BROOKLYN, NY 11237
(718) 381-3621
1548591647 RAMIN KOHANSIMEH
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)121 SAINT NICHOLAS AVE
BROOKLYN, NY 11237
(718) 381-5116
1710219571 MITCHELL CHERVIN
Individual
Pharmacist121 SAINT NICHOLAS AVE
BROOKLYN, NY 11237
(718) 381-5116
1659757102DR. SEAN ZHANG PHARM D
Individual
Pharmacist121 SAINT NICHOLAS AVE
BROOKLYN, NY 11237
(718) 381-5116
1689978645JOJAN PHARMA INC
Organization
Pharmacy (Community/Retail Pharmacy)121 SAINT NICHOLAS AVE
BROOKLYN, NY 11237
(201) 780-7210
1104377571JOJAN PHARMA INC
Organization
Pharmacy (Specialty Pharmacy)121 SAINT NICHOLAS AVE
BROOKLYN, NY 11237
(718) 381-5116
1720560287 MIN GUK YOO PHARMD
Individual
Pharmacist121 SAINT NICHOLAS AVE
BROOKLYN, NY 11237
(718) 381-5116
1164134045MS. MELISSA ROSE SAMIDE
Individual
Pharmacist121 SAINT NICHOLAS AVE
BROOKLYN, NY 11237
(718) 381-5116
1033936828 TING LIN RPH
Individual
Pharmacist121 SAINT NICHOLAS AVE
BROOKLYN, NY 11237
(718) 381-5116

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922178730, enumerated in the NPI registry as an "organization" on November 09, 2006

The provider is located at 121 Saint Nicholas Ave Brooklyn, Ny 11237 and the phone number is (718) 381-5116

This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail Pharmacy

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.