Church Ave Pharmacy Inc
NPI 1700114790ActiveOrganization· Pharmacy· Brooklyn, NY
Pharmacy in Brooklyn, New York, registered in NPPES in December 2009. The authorized official on file is Yefim Bubis, Supervisor Pharmacist. Medicare paid $41,341 for services to 147 patients in 2024.
Overview
| NPI | 1700114790 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 2, 2009 |
| Last updated in NPPES | Jun 2, 2023 |
| Certified by provider | Jun 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 029857 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (NY); Part B Supplier - Mass Immunization (Roster Biller Only) (NY); Part B Supplier - Pharmacy (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 147 |
|---|---|
| Services billed | 509 across 12 procedure codes |
| Paid by Medicare | $41,341 |
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