Provider Demographics
NPI:1477650315
Name:RIGHTWAY PHARMACY INC
Entity Type:Organization
Organization Name:RIGHTWAY PHARMACY INC
Other - Org Name:RIGHTWAY PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:ABID
Authorized Official - Last Name:JAVAID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-997-7333
Mailing Address - Street 1:2511 AVENUE U
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4934
Mailing Address - Country:US
Mailing Address - Phone:718-891-7900
Mailing Address - Fax:718-891-5310
Practice Address - Street 1:2511 AVENUE U
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4934
Practice Address - Country:US
Practice Address - Phone:718-891-7900
Practice Address - Fax:718-891-5310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NY0263773336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2510754Medicaid
2061446OtherPK
5106140001Medicare NSC