158Th Street Neighborhood Pharmacy, Llc

LBN: 158Th Street Neighborhood Pharmacy, Llc
158Th Street Neighborhood Pharmacy, Llc is an health care organization with primary practice located at 3103 3Rd Ave , Bronx NY 10451-4688. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. 158Th Street Neighborhood Pharmacy, Llc can be contacted via phone (718) 585-6188, or through Avidar, Noam via phone (718) 585-6188.

Contact Information

Primary practice address
3103 3Rd Ave Bronx NY 10451-4688
Phone: (718) 585-6188
Fax: (718) 585-6653
Website:
Map and Directions
Authorized official contact:
Name: Avidar, Noam
Phone: (718) 585-6188

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 026148 New York

Profile Details

NPI number 1215048152
LBN Legal business name 158Th Street Neighborhood Pharmacy, Llc
DBA Doing business as
Authorized official Avidar, Noam
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215048152 NPPES
New York MEDICAID 02519551

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