MEDICARE: HEALTHPURE PHARMACY, LLC

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1710401377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHPURE PHARMACY, LLC

Provider Business Mailing Address
First Line	:	93 1/2 KING ST
Second Line	:
City	:	ST AUGUSTINE
State	:	FL
Zip	:	32084-4343
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3167 FULTON ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11208-1922
Country	:	US
Telephone Number	:	718-484-8044
Fax Number	:	718-484-8044

Authorized Official
Title or Position	:	DIRECTOR RETAIL/ECOMMERCE
Name	:	MR. JEFF LOHMEIER
Credential	:
Telephone Number	:	505-440-2209

Provider Enumeration Date	:	07/26/2017
Last Update Date	:	07/26/2017

Similar Medicare Providers

1902290216 — ANH PHARMACY INC
Practice Location Address:

3167 FULTON ST
BROOKLYN, NY
11208-1922

Practice Phone: 718-484-8044
Practice Fax: 718-484-8042

1235620915 — HEALTHY-WAY PHARMACY INC
Practice Location Address:

3167 FULTON ST
BROOKLYN, NY
11208-1922

Practice Phone: 718-484-8044
Practice Fax: 718-484-8042

1336479187 — HOSSAMELDIEN ELKHOLY
Practice Location Address:

1922 63RD ST , 2ND FLOOR
BROOKLYN, NY
11204-3051

Practice Phone: 347-374-3786
Practice Fax:

1518249119 — DR. MARCIA MORRISON PH.D.
Practice Location Address:

258 HIGHLAND BLVD
BROOKLYN, NY
11207-1922

Practice Phone: 718-827-1467
Practice Fax:

1902236276 — GULNARA SELYANINA
Practice Location Address:

1776 E 13TH ST APT 4K , APT 4K
BROOKLYN, NY
11229-1922

Practice Phone: 347-729-4383
Practice Fax:

1013489509 — SAMUEL D BARSANO
Practice Location Address:

1922 E 18TH ST
BROOKLYN, NY
11229-3410

Practice Phone: 917-692-8683
Practice Fax:

Directions to “HEALTHPURE PHARMACY, LLC ” 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.