Provider Demographics
NPI:1588208474
Name:MEDMINDER SYSTEMS INC
Entity Type:Organization
Organization Name:MEDMINDER SYSTEMS INC
Other - Org Name:MEDMINDER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-633-6463
Mailing Address - Street 1:320 NORWOOD PARK S
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-4659
Mailing Address - Country:US
Mailing Address - Phone:888-633-6163
Mailing Address - Fax:
Practice Address - Street 1:5369 KINGS HWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-6704
Practice Address - Country:US
Practice Address - Phone:800-203-6282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDMINDER SYSTEMS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-04
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY06080060Medicaid
NY037854OtherNEW YORK BOARD OF PHARMACY