Provider Demographics
NPI:1447210190
Name:ARKAYEM, LLC
Entity Type:Organization
Organization Name:ARKAYEM, LLC
Other - Org Name:RECETAS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERVISING PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SHABBIR
Authorized Official - Middle Name:SADIK
Authorized Official - Last Name:BAROT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:718-993-5757
Mailing Address - Street 1:824 E 156TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455-1714
Mailing Address - Country:US
Mailing Address - Phone:718-993-5757
Mailing Address - Fax:718-993-9441
Practice Address - Street 1:824 E 156TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-1714
Practice Address - Country:US
Practice Address - Phone:718-993-5757
Practice Address - Fax:718-993-9441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-26
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025190183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02168505Medicaid
NY02168505Medicaid