Provider Demographics
NPI:1437291416
Name:PHARMACARE SERVICES INC
Entity Type:Organization
Organization Name:PHARMACARE SERVICES INC
Other - Org Name:PHARMACARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERVISING PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:VJ
Authorized Official - Middle Name:N
Authorized Official - Last Name:POONDI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:212-696-2044
Mailing Address - Street 1:483 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-8638
Mailing Address - Country:US
Mailing Address - Phone:212-696-2044
Mailing Address - Fax:212-696-2061
Practice Address - Street 1:483 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8638
Practice Address - Country:US
Practice Address - Phone:212-696-2044
Practice Address - Fax:212-696-2061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038344183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02368716Medicaid
NY4719860001Medicare ID - Type UnspecifiedMEDICARE