Provider Demographics
NPI:1568470763
Name:PRESCRIPTION PLUS CORP.
Entity Type:Organization
Organization Name:PRESCRIPTION PLUS CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE.
Authorized Official - Prefix:MR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-945-0000
Mailing Address - Street 1:1864 PLEASANTVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-1025
Mailing Address - Country:US
Mailing Address - Phone:914-945-0000
Mailing Address - Fax:914-945-7045
Practice Address - Street 1:1864 PLEASANTVILLE RD
Practice Address - Street 2:
Practice Address - City:BRIARCLIFF MANOR
Practice Address - State:NY
Practice Address - Zip Code:10510-1025
Practice Address - Country:US
Practice Address - Phone:914-945-0000
Practice Address - Fax:914-945-7045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NY0249843336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3321065OtherOTHER ID NUMBER
NY02135853Medicaid