Provider Demographics
NPI:1164122982
Name:AMERICARE OF AMITYVILLE PHARMACY INC
Entity Type:Organization
Organization Name:AMERICARE OF AMITYVILLE PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:SARAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-732-8772
Mailing Address - Street 1:357 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-2748
Mailing Address - Country:US
Mailing Address - Phone:631-616-5101
Mailing Address - Fax:
Practice Address - Street 1:357 BROADWAY
Practice Address - Street 2:
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-2748
Practice Address - Country:US
Practice Address - Phone:631-616-5101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy