Provider Demographics
NPI:1093970402
Name:TOCARE LLC
Entity Type:Organization
Organization Name:TOCARE LLC
Other - Org Name:WHITESTONE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERVISING RPH
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:VIOLA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:718-767-0618
Mailing Address - Street 1:150 43B 14 AVE
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357
Mailing Address - Country:US
Mailing Address - Phone:718-767-0618
Mailing Address - Fax:718-767-0915
Practice Address - Street 1:150 43B 14 AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357
Practice Address - Country:US
Practice Address - Phone:718-767-0618
Practice Address - Fax:718-767-0915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-24
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
NY17029008333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6182600001Medicare NSC