Provider Demographics
NPI:1306568175
Name:CHEMIST ON BAY INC
Entity type:Organization
Organization Name:CHEMIST ON BAY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISING PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HUSAM
Authorized Official - Middle Name:
Authorized Official - Last Name:FARHOUD
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:347-374-0430
Mailing Address - Street 1:127 CROAK AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-5640
Mailing Address - Country:US
Mailing Address - Phone:347-374-0430
Mailing Address - Fax:
Practice Address - Street 1:690 BAY ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10304-3890
Practice Address - Country:US
Practice Address - Phone:718-374-5750
Practice Address - Fax:718-374-5751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-16
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336S0011XSuppliersPharmacySpecialty Pharmacy