Provider Demographics
NPI:1386307353
Name:WHITESTONERX INC
Entity type:Organization
Organization Name:WHITESTONERX INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARTAVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-225-3777
Mailing Address - Street 1:16660 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-3305
Mailing Address - Country:US
Mailing Address - Phone:718-225-3777
Mailing Address - Fax:718-225-5777
Practice Address - Street 1:16660 17TH AVE
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-3305
Practice Address - Country:US
Practice Address - Phone:718-225-3777
Practice Address - Fax:718-225-5777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-18
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy