PHILLIPS PHARMACY INC
NPI 1497186910
Pharmacy in Brooklyn, NY

Q: What is Phillips Pharmacy Inc's NPI number?

The NPI number for Phillips Pharmacy Inc is 1497186910. It was assigned to this organization in the NPPES registry on December 9, 2013.

Q: What is Phillips Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since December 09, 2013

3921 9TH AVE, BROOKLYN, NY 11232(718) 435-7790(718) 871-8020 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2017, Feb 16, 2016, Jan 26, 2016 and 1 more (4 updates tracked since 2016).

On this page

About Phillips Pharmacy Inc NPPES

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

PHILLIPS PHARMACY INC (NPI 1497186910) is a healthcare organization registered as a pharmacy in Brooklyn, New York and active in the NPI registry since December 2013. The organization lists Eugene Ha, President, as its authorized official.

NPPES Registry Identity

NPI1497186910

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NamePHILLIPS PHARMACY INC

Location Address3921 9TH AVEBrooklyn, NY 11232-3207

Mailing Address3921 9th AveBrooklyn, NY 11232-3207 · (718) 435-7790 · Fax (718) 871-8020

Phone(718) 435-7790

Fax(718) 871-8020

Organization SubpartNo

Authorized OfficialEugene HaPresident · (917) 843-8269

Enumeration DateDecember 9, 2013

Last NPPES UpdateMarch 28, 20224 updates tracked since enumeration

NPPES CertifiedMarch 28, 2022

✔ NPI 1497186910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in NY · 032681

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

3921 9TH AVE, Brooklyn, NY 11232

Open in Google Maps ↗

Other Names 1

Doing Business AsPhillips Pharmacy Inc

Other Identifiers 2

Medicaid03870537NY

Other2145804Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phillips Pharmacy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateNew YorkEnrollment IDO20211221002346Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 7

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

MOSES BRULL

Pharmacy