Vitacare Pharmacy

LBN: Bb Myrtle Pharmacy Corp
Vitacare Pharmacy is an health care organization with primary practice located at 141 Charles Ave , Staten Island NY 10302-1624. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Bb Myrtle Pharmacy Corp can be contacted via phone (718) 720-5604, or through Natenzon, Boris via phone (718) 720-3710.

Contact Information

Primary practice address
141 Charles Ave Staten Island NY 10302-1624
Fax: (718) 770-7687
Website:
Authorized official contact:
Name: Natenzon, Boris

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 029308 New York

Profile Details

NPI number 1497909824
LBN Legal business name Bb Myrtle Pharmacy Corp
DBA Doing business as Vitacare Pharmacy
Authorized official Natenzon, Boris
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2008
Last updated Nov 17th, 2021 - about 3 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 1497909824 NPPES
Other 2119345 PK
MEDICAID 3056122 PK

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