Provider Demographics
NPI:1558709634
Name:NEILAARSHI HEALTHCARE LLC
Entity Type:Organization
Organization Name:NEILAARSHI HEALTHCARE LLC
Other - Org Name:ANDY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY MANAGER/PIC/AO
Authorized Official - Prefix:
Authorized Official - First Name:KRUNAL
Authorized Official - Middle Name:
Authorized Official - Last Name:VASANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-368-5511
Mailing Address - Street 1:3750 BROADWAY
Mailing Address - Street 2:STORE#2
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-1525
Mailing Address - Country:US
Mailing Address - Phone:212-368-5511
Mailing Address - Fax:212-368-4334
Practice Address - Street 1:3750 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-1525
Practice Address - Country:US
Practice Address - Phone:212-368-5511
Practice Address - Fax:212-368-4334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-11
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NY0321823336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3875629Medicaid
2141768OtherPK