Provider Demographics
NPI:1639167745
Name:BIG APPLE PHARMACY, INC.
Entity Type:Organization
Organization Name:BIG APPLE PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/SUP.PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:MAS
Authorized Official - Last Name:GILANI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:718-515-5003
Mailing Address - Street 1:19 E GUN HILL RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2110
Mailing Address - Country:US
Mailing Address - Phone:718-515-5003
Mailing Address - Fax:718-515-5003
Practice Address - Street 1:19 E GUN HILL RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2110
Practice Address - Country:US
Practice Address - Phone:718-515-5003
Practice Address - Fax:718-515-5003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020564332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01241538Medicaid