Provider Demographics
NPI:1437118510
Name:ABC PHARMACY INC.
Entity Type:Organization
Organization Name:ABC PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HOK DOON JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:AU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-680-6278
Mailing Address - Street 1:5401 8TH AVE STORE 'A'
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220
Mailing Address - Country:US
Mailing Address - Phone:718-686-8830
Mailing Address - Fax:718-686-8870
Practice Address - Street 1:5401 8TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220
Practice Address - Country:US
Practice Address - Phone:718-686-8830
Practice Address - Fax:718-686-8870
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABC PHARMACY INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026818183500000X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes333600000XSuppliersPharmacy
No183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02594374Medicaid
NY3339771OtherNABP NUMBER
NY3339771OtherNABP NUMBER
NYBA8961345OtherDEA NUMBER