1922248582 NPI number — A&F PHARMACY, INC

Table of content: (NPI 1922248582)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922248582 NPI number — A&F PHARMACY, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A&F PHARMACY, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922248582
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/14/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2754 PITKIN AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11208-3100
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-277-7707
Provider Business Mailing Address Fax Number:
718-277-7717

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2754 PITKIN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11208-3100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-277-7707
Provider Business Practice Location Address Fax Number:
718-277-7717
Provider Enumeration Date:
02/23/2009

Additional Information

Authorized Official

Authorized Official Last Name:
AHMAD
Authorized Official First Name:
SORAYA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT/OWNER
Authorized Official Telephone Number:
718-277-7707

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 03091985 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 029347 . This is a "BOARD OF PHARMACY LICENSE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com