Poe Pharmacy

LBN: Kannayya Pharmacy Inc.
Poe Pharmacy is an health care organization with primary practice located at 2558 Grand Concourse , Bronx NY 10458-4903. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Durable Medical Equipment & Medical Supplies. Pharmacy Service Providers / Pharmacist is the primary health care specialty. Kannayya Pharmacy Inc. can be contacted via phone (718) 364-7070, or through Maddukuri, Venu G via phone (718) 364-7070.

Contact Information

Primary practice address
2558 Grand Concourse Bronx NY 10458-4903
Phone: (718) 364-7070
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Maddukuri, Venu G
Phone: (718) 364-7070

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 023262 New York
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 01902987 New York

Profile Details

NPI number 1730214164
LBN Legal business name Kannayya Pharmacy Inc.
DBA Doing business as Poe Pharmacy
Authorized official Maddukuri, Venu G
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
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 1730214164 NPPES
New York MEDICAID 01902987

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