Provider Demographics
NPI:1194092866
Name:NATIONAL PHARMACY CORP.
Entity type:Organization
Organization Name:NATIONAL PHARMACY CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:ABDOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-801-3075
Mailing Address - Street 1:4015 NATIONAL ST
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-2320
Mailing Address - Country:US
Mailing Address - Phone:718-779-9080
Mailing Address - Fax:718-779-9082
Practice Address - Street 1:4015 NATIONAL ST
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-2320
Practice Address - Country:US
Practice Address - Phone:718-779-9080
Practice Address - Fax:718-779-9082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-24
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6648650001Medicare NSC