MEDICARE: B&M FAMILY PHARMACY CORP

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2063003	OTHER		PK

General Provider Information

NPI Number	:	1790734655
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B&M FAMILY PHARMACY CORP

Provider Business Mailing Address
First Line	:	1001 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-5006
Country	:	US
Telephone Number	:	718-859-0007
Fax Number	:	718-724-2609

Provider Business Practice Location Address
First Line	:	1001 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-5006
Country	:	US
Telephone Number	:	718-859-0007
Fax Number	:	718-724-2609

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. CARLTON BEHARRY
Credential	:
Telephone Number	:	718-859-0007

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	06/24/2024

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Directions to “B&M FAMILY PHARMACY CORP ” Practice Location

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