Organization
ST JOHNS PLACE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL KHAIMOV (SUPERVISING PHARMACIST)
(718) 773-2200
Entity
Organization
Contact information
Practice address
1106 SAINT JOHNS PL, BROOKLYN, NY 11213-2675
(718) 773-2200
(718) 773-2233
Mailing address
1106 SAINT JOHNS PL, BROOKLYN, NY 11213-2675
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
027345
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02682204
—
NY
01
—
3345976
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/20/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us