BEDFORD MEDICAL SUPPLY INC (NPI# 1417362674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417362674 |
| Entity Type | Organization |
| Organization Name | BEDFORD MEDICAL SUPPLY INC |
| Other Organization Name | EXTRA CARE PHARMACY |
| Practice Address |
2036 Bedford Ave Brooklyn NY 11226-1905 |
| Mailing Address |
2036 Bedford Ave Brooklyn NY 11226 |
| Practice Telephone | 7184622273 |
| Practice Fax Number | 7184621400 |
| Mailing Telephone | 7184622273 |
| Mailing Fax Number | 7184621400 |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | CHUCKWUMA MADU (PRESIDENT) |
| Authorized Official Telephone | 7184622273 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
032855 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03934214 | 05 | |
| PK | 2146793 | 01 |
| Other Name | Type Code |
|---|---|
| Extra Care Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BEDFORD MEDICAL SUPPLY INC | 287 Marlin Street, Dix Hills, Ny 11746 |
| Street Address |
2036 BEDFORD AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11226-1905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659385680 | Muhammad Ashraf | Pharmacist | 2036 Bedford Ave, Brooklyn, NY 11226-1905 | 2006-07-27 |
| 1861905002 | Kenneth Lau | Pharmacist | 2036 Bedford Ave, Brooklyn, NY 11226-1905 | 2017-11-09 |
| 1821396334 | Vladmir Elie | Pharmacist | 2036 Bedford Ave, Brooklyn, NY 11226-1905 | 2011-03-08 |
| 1053592527 | Noor Pharmacy Inc | Pharmacy | 2036 Bedford Ave, Brooklyn, NY 11226-1905 | 2007-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487279238 | Nss Medical Services, Pllc | Clinic/Center | 322 Linden Blvd., Ground Floor, Brooklyn, NY 11226 | 2020-06-08 |
| 1528691698 | Lu Ding | Social Worker | 2417 Albemarle Road, Unit 10d, Brooklyn, NY 11226 | 2020-02-18 |
| 1073089348 | Tiina Treasure | Social Worker | 2414 Church Ave, Brooklyn, NY 11226 | 2018-10-15 |
| 1508344490 | Natasha Samantha Hescott | Dietitian, Registered | 261 Lenox Rd Apt 6a, Brooklyn, NY 11226 | 2018-08-01 |
| 1265921977 | Janice Tom-george | Social Worker | 1818 Newkirk Ave Apt 4m, Brooklyn, NY 11226 | 2018-05-08 |
| 1336641299 | Millennia Ruth Lytle | Nutritionist | 135 Clarkson Ave, F8, Brooklyn, NY 11226 | 2018-03-06 |
| 1619495991 | Cassandra Wong | Physician Assistant | 163 Veronica Pl Apt 1r, Brooklyn, NY 11226 | 2017-09-06 |
| 1164940128 | Nz Pharmacy Inc | Pharmacy | 1296 Nostrand Ave, Brooklyn, NY 11226 | 2017-08-30 |
| 1497282412 | Shella St Ima | Licensed Practical Nurse | 45 E 25th St Fl 1, Brooklyn, NY 11226 | 2017-05-22 |
| 1174068209 | Tracey-ann Treadwell | Registered Nurse | 448 East 26th St., Apt 8, Brooklyn, NY 11226 | 2016-12-28 |
| Find all providers in zip 11226 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890878 | Corner Pharmacy Myrtle | Pharmacy | 680 Myrtle Ave, Brooklyn, NY 11205-4119 | 2020-10-28 |
| 1124627302 | Elite Pharmacy Inc. | Pharmacy | 614a Grand St, Brooklyn, NY 11211-4802 | 2020-10-20 |
| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1043817463 | Angella Samson | Pharmacy | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-08 |
| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| 1649885047 | Tree of Life Rx Inc | Pharmacy | 2472 Coney Island Ave, Brooklyn, NY 11223-5022 | 2020-09-11 |
| 1083227235 | Premium Health Inc | Pharmacy | 4510 16th Ave Fl 3, Brooklyn, NY 11204-1101 | 2020-08-27 |
| 1518579952 | Nostrand Drugs Rx Inc | Pharmacy | 385 Nostrand Ave, Brooklyn, NY 11216-1701 | 2020-08-18 |
| 1134738115 | Utica Express Pharmacy Inc | Pharmacy | 190 Utica Ave, Brooklyn, NY 11213-2939 | 2020-07-27 |
| 1609485895 | A5 Pharmacy Inc. | Pharmacy | 5323 7th Ave, Brooklyn, NY 11220-3120 | 2020-07-23 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.