Provider Demographics
NPI:1386626190
Name:THE NEW PHARMACY INC
Entity type:Organization
Organization Name:THE NEW PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISING PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAILESH
Authorized Official - Middle Name:R
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH MS
Authorized Official - Phone:718-992-8299
Mailing Address - Street 1:530 E 170TH ST
Mailing Address - Street 2:BRONX
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-2302
Mailing Address - Country:US
Mailing Address - Phone:718-992-8299
Mailing Address - Fax:718-293-0009
Practice Address - Street 1:530 E 170TH ST
Practice Address - Street 2:BRONX
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-2302
Practice Address - Country:US
Practice Address - Phone:718-992-8299
Practice Address - Fax:718-293-0009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-17
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019212183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01004728Medicaid
NY4833360001Medicare NSC