CHURCH AVE PHARMACY INC - NPI 1477246536 - Pharmacy in Brooklyn, NY

Q: What is Church Ave Pharmacy Inc's NPI number?

The NPI number for Church Ave Pharmacy Inc is 1477246536. It was assigned to this organization in the NPPES registry on June 2, 2023.

Q: What is Church Ave Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

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About Church Ave Pharmacy Inc NPPES

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

CHURCH AVE PHARMACY INC (NPI 1477246536) is a healthcare organization registered as a community/retail pharmacy in Brooklyn, New York and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through March 26, 2027, maintains a secondary practice location in Brooklyn, and lists Zoya Pritsker, Owner/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1477246536

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameCHURCH AVE PHARMACY INC

Location Address1810 CHURCH AVEBrooklyn, NY 11226-3706

Mailing Address1810 Church AveBrooklyn, NY 11226-3706 · (718) 941-2200 · Fax (718) 941-2300

Phone(718) 941-2200

Fax(718) 941-2300

Organization SubpartNo

Authorized OfficialZoya PritskerOwner/pharmacist · (718) 941-2200

Enumeration DateJune 2, 2023

NPPES CertifiedJune 2, 2023

✔ NPI 1477246536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

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.

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X

1810 CHURCH AVE, Brooklyn, NY 11226

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Secondary Practice Location 1

Location 11810 Church AveBrooklyn, NY 11226-3706 · Phone (718) 941-2200 · Fax (718) 941-2300

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 33D2267068

Church Ave Pharmacy Inc · Brooklyn, NY

Active · expires Mar 26, 2027

CLIA Number33D2267068

Laboratory TypePharmacy

Certificate Effective DateAugust 19, 2022

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorMr. Zoya Pritsker

Laboratory Phone(718) 941-2200

Laboratory LocationChurch Ave Pharmacy Inc1810 Church Ave, Brooklyn, NY 11226

CLIA data matches this NPI record on: Address Name Phone

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

Other Providers at the Same Location NPPES 5

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

DIABETES FOR ONE, LLC

Dietitian, Registered (Nutrition, Obesity and Weight Management)