Provider Demographics
NPI:1548202328
Name:TOTAL CARE PHARMACY RX INC
Entity Type:Organization
Organization Name:TOTAL CARE PHARMACY RX INC
Other - Org Name:TOTAL CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TONINO
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMENTILLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-206-5855
Mailing Address - Street 1:110 SMITH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-7731
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:110 SMITH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-7731
Practice Address - Country:US
Practice Address - Phone:718-243-2390
Practice Address - Fax:718-243-2650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027547333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered333600000XSuppliersPharmacy
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3349392OtherOTHER ID NUMBER-COMMERCIAL NUMBER