Provider Demographics
NPI:1164730891
Name:HARINAM RX INC
Entity Type:Organization
Organization Name:HARINAM RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARDIPKUMAR
Authorized Official - Middle Name:AMBALAL
Authorized Official - Last Name:RAVAL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:845-569-4100
Mailing Address - Street 1:313 SOUTH WILLIAM ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550
Mailing Address - Country:US
Mailing Address - Phone:845-569-4100
Mailing Address - Fax:845-562-4867
Practice Address - Street 1:313 SOUTH WILLIAM ST
Practice Address - Street 2:SUITE 3
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550
Practice Address - Country:US
Practice Address - Phone:845-569-4100
Practice Address - Fax:845-562-4867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-15
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6956950001Medicare NSC