Provider Demographics
NPI:1407955297
Name:BROWNSVILLE PHARMACY INC.
Entity Type:Organization
Organization Name:BROWNSVILLE PHARMACY INC.
Other - Org Name:HINA DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAHAB
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:SIDDIQUI
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:718-778-3900
Mailing Address - Street 1:4 SUTTER AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-3838
Mailing Address - Country:US
Mailing Address - Phone:718-778-3900
Mailing Address - Fax:718-778-3379
Practice Address - Street 1:4 SUTTER AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-3838
Practice Address - Country:US
Practice Address - Phone:718-778-3900
Practice Address - Fax:718-778-3379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023618333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3307483OtherNABP #
NY023618OtherSTATE REGISTRATION #
NY01804228Medicaid
NY01804228Medicaid
NY023618OtherSTATE REGISTRATION #