Provider Demographics
NPI:1407839251
Name:RAM PHARMACY INC.
Entity Type:Organization
Organization Name:RAM PHARMACY INC.
Other - Org Name:CARIBE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERVISING PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RAVAJI
Authorized Official - Middle Name:S
Authorized Official - Last Name:BRAHMBHATT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:212-304-0649
Mailing Address - Street 1:146 NAGLE AVENUE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-1437
Mailing Address - Country:US
Mailing Address - Phone:212-304-0649
Mailing Address - Fax:212-304-2959
Practice Address - Street 1:146 NAGLE AVENUE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-1437
Practice Address - Country:US
Practice Address - Phone:212-304-0649
Practice Address - Fax:212-304-2959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-25
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024636183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02044824Medicaid
3862610001Medicare NSC
NY02044824Medicaid