CMS-1500 Box 24J / 33a • NPI
1891731758
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
3336C0003X (CMS 58)
Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy
Box 32 Service Location & ZIP+4
849 BROADWAY, BROOKLYN, NY, 11206-7303
✓ 9-Digit EDI 837 ZIP+4 (11206-7303)
⚠️ HHS OIG LEIE FEDERAL EXCLUSION ALERT:
NPI
1891731758 matches an active entry in the HHS Office of Inspector General List of Excluded Individuals/Entities (Sec. 1128(b)(8) — Entities Controlled by a Sanctioned Individual — Effective 2017-05-18). Verify before submitting Medicare/Medicaid claims.
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1891731758 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | A FAIR DEAL PHARMACY, INC. |
| Plain-English Specialty | Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy NUCC Code: 3336C0003X (Pharmacy, Community/Retail Pharmacy) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 849 BROADWAY, BROOKLYN, NY, 11206-7303 |
| Practice Telephone / Fax | Tel: (718) 452-2275 | Fax: (718) 452-2275 |
| Administrative Mailing Address | 849 BROADWAY, BROOKLYN, NY, 11206-7303 |
| Enumeration & Last Sync | Enumerated: 2006-06-21 | CMS Record Updated: 2022-07-21 |
| Authorized Official | PURNACHANDRA ARAMALLA (President) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (3336C0003X)
What Does Taxonomy Code 3336C0003X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3336C0003X translates to:
"Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (A FAIR DEAL PHARMACY, INC.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
3336C0003X — Pharmacy, Community/Retail PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy | State: NY | License: 019699 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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