Merrick Blvd Pharmacy

LBN: Asara Llc
Merrick Blvd Pharmacy is an health care organization with primary practice located at 12613 Merrick Blvd , Jamaica NY 11434-3419. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Asara Llc can be contacted via phone (718) 528-0505, or through Chittineedi, Ravi via phone (718) 528-0505.

Contact Information

Primary practice address
12613 Merrick Blvd Jamaica NY 11434-3419
Phone: (718) 528-0505
Fax: (718) 528-2151
Website:
Map and Directions
Authorized official contact:
Name: Chittineedi, Ravi
Phone: (718) 528-0505

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 032637 New York
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1689003915
LBN Legal business name Asara Llc
DBA Doing business as Merrick Blvd Pharmacy
Authorized official Chittineedi, Ravi
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2013
Last updated Jul 19th, 2018 - about 6 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 1689003915 NPPES
Other 2145347 PK
MEDICAID 03785251 PK

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