PARK CHEMISTS 4 AV LLC

Q: What is the provider's specialty?

The provider's specialty is Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.

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About Park Chemists 4 Av Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARK CHEMISTS 4 AV LLC (NPI 1043076359), doing business as Park Chemists, is a healthcare organization registered as a long term care pharmacy in Brooklyn, New York and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Gary Valevich, Owner, as its authorized official.

NPPES Registry Identity

NPI1043076359

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NamePARK CHEMISTS 4 AV LLC

Location Address500 4TH AVEBrooklyn, NY 11215-4881

Mailing Address500 4th AveBrooklyn, NY 11215-4881 · (718) 567-5444

Phone(718) 567-5444

Organization SubpartNo

Authorized OfficialGary ValevichOwner · (917) 881-2970

Enumeration DateFebruary 23, 2024

NPPES CertifiedFebruary 23, 2024

✔ NPI 1043076359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

500 4TH AVE, Brooklyn, NY 11215

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Other Names 1

Doing Business AsPark Chemists

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2264282

Park Chemists 4 Av LLC · Brooklyn, NY

Active · expires Mar 26, 2027

CLIA Number33D2264282

Laboratory TypePharmacy

Certificate Effective DateJuly 12, 2022

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Gary Valevich

Laboratory Phone(718) 567-5444

Laboratory LocationPark Chemists 4 Av LLC500 4th Ave, Brooklyn, NY 11215

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Park Chemists 4 Av LLC carries, from the Medicare DMEPOS supplier directory.

DMEPOS supplier · Brooklyn, NY

⋮

Does not accept Medicare assignment

Park Chemists 4 Av LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20421203

Medicare Participant SinceMay 21, 2019

Supplier Location500 4th AveBrooklyn, NY 11215

Phone(718) 567-5444

Supplier Specialties

Pharmacy

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CODY DODO MS L.AC

Acupuncturist

500 4TH AVE, #8J
BROOKLYN, NY 11215

Kings County (646) 220-1996

PARK CHEMISTS 4 AV LLC

Pharmacy

500 4TH AVE
BROOKLYN, NY 11215

Kings County (718) 567-4555

DOSIK HEMATOLOGY AND ONCOLOGY, P.C.

Internal Medicine (Hematology & Oncology)

500 4TH AVE, STE 1
BROOKLYN, NY 11215

Kings County (718) 208-1820