Provider Demographics
NPI:1497002935
Name:EMA PHARMACY CORP
Entity Type:Organization
Organization Name:EMA PHARMACY CORP
Other - Org Name:FINE CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALKADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-676-9976
Mailing Address - Street 1:380 KNICKERBOCKER AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11237-3702
Mailing Address - Country:US
Mailing Address - Phone:718-676-9976
Mailing Address - Fax:718-676-9986
Practice Address - Street 1:380 KNICKERBOCKER AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237-3702
Practice Address - Country:US
Practice Address - Phone:718-676-9976
Practice Address - Fax:718-676-9986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-14
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336C0004X, 3336S0011X
NY0314353336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5805950OtherNCPDP PROVIDER IDENTIFICATION NUMBER