Provider Demographics
NPI:1245214030
Name:ESQUIRE PHARMACY INC.
Entity Type:Organization
Organization Name:ESQUIRE PHARMACY INC.
Other - Org Name:ESQUIRE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:CHITANSHU
Authorized Official - Middle Name:ANIL
Authorized Official - Last Name:VORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-228-2260
Mailing Address - Street 1:277 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2994
Mailing Address - Country:US
Mailing Address - Phone:212-228-2260
Mailing Address - Fax:212-228-2261
Practice Address - Street 1:277 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2994
Practice Address - Country:US
Practice Address - Phone:212-228-2260
Practice Address - Fax:212-228-2261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-05
Last Update Date:2019-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3354002OtherNCPDP
NY01489225Medicaid