Provider Demographics
NPI:1619960093
Name:NU-ERA PHARMACEUTICAL INC
Entity Type:Organization
Organization Name:NU-ERA PHARMACEUTICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUP PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:H
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:718-933-6755
Mailing Address - Street 1:454 E FORDHAM RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-5108
Mailing Address - Country:US
Mailing Address - Phone:718-933-6755
Mailing Address - Fax:718-508-0011
Practice Address - Street 1:454 E FORDHAM RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-5108
Practice Address - Country:US
Practice Address - Phone:718-933-6755
Practice Address - Fax:718-508-0011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-31
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016272333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00974447Medicaid
NY4224630001Medicare NSC