MEDICARE: MANHATTAN BEACH PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	027503	NY
2	3336C0003X	Community/Retail Pharmacy	027503	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2066378	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558315002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANHATTAN BEACH PHARMACY INC

Provider Business Mailing Address
First Line	:	1224 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4107
Country	:	US
Telephone Number	:	718-332-2210
Fax Number	:	718-332-5510

Provider Business Practice Location Address
First Line	:	1224 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4107
Country	:	US
Telephone Number	:	718-332-2210
Fax Number	:	718-332-5510

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VLADIMIR VAKSER
Credential	:
Telephone Number	:	718-332-2210

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	11/08/2016

Similar Medicare Providers

1437251840 — MR. LEONID TALYANSKY
Practice Location Address:

1212 AVENUE U
BROOKLYN, NY
11229-4107

Practice Phone: 718-382-6409
Practice Fax: 718-376-1422

1104264571 — WARM EMBRACE CIRCLE, INC
Practice Location Address:

1204 AVENUE U , UNIT 1170
BROOKLYN, NY
11229-4107

Practice Phone: 917-299-1254
Practice Fax:

1831630250 — JKS CONSULTING GROUP, INC
Practice Location Address:

1204 AVENUE U , UNIT 1170
BROOKLYN, NY
11229-4107

Practice Phone: 718-249-7200
Practice Fax:

1548739022 — TMVQS CORP
Practice Location Address:

1224 AVENUE U
BROOKLYN, NY
11229-4107

Practice Phone: 718-975-2800
Practice Fax:

1104512458 — SIMPLY CARE PHARMACY CORP
Practice Location Address:

1222 AVENUE U
BROOKLYN, NY
11229-4107

Practice Phone: 716-666-2554
Practice Fax: 718-336-2029

1255192910 — AVE U DENTAL CARE PLLC
Practice Location Address:

1224 AVENUE U
BROOKLYN, NY
11229-4107

Practice Phone: 718-568-9669
Practice Fax:

Directions to “MANHATTAN BEACH PHARMACY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.