Provider Demographics
NPI:1629386636
Name:NEW PARSONS PHARMACY LLC
Entity Type:Organization
Organization Name:NEW PARSONS PHARMACY LLC
Other - Org Name:NEW PARSONS PHARMACY LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAKIL
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-291-1114
Mailing Address - Street 1:88 01 PARSONS BLVD
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-3895
Mailing Address - Country:US
Mailing Address - Phone:718-291-1114
Mailing Address - Fax:718-291-1118
Practice Address - Street 1:88 01 PARSONS BLVD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-3895
Practice Address - Country:US
Practice Address - Phone:718-291-1114
Practice Address - Fax:718-291-1118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-24
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0302553336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2127382OtherPK
NY3278920Medicaid