Provider Demographics
NPI:1659013373
Name:ADAMA'S PHARMACY & HEALTH PRODUCTS CORP.
Entity Type:Organization
Organization Name:ADAMA'S PHARMACY & HEALTH PRODUCTS CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:KONATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-561-3044
Mailing Address - Street 1:24804 UNION TPKE
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE
Mailing Address - State:NY
Mailing Address - Zip Code:11426-1837
Mailing Address - Country:US
Mailing Address - Phone:917-387-8010
Mailing Address - Fax:917-387-8065
Practice Address - Street 1:24804 UNION TPKE
Practice Address - Street 2:
Practice Address - City:BELLEROSE
Practice Address - State:NY
Practice Address - Zip Code:11426-1837
Practice Address - Country:US
Practice Address - Phone:917-387-8010
Practice Address - Fax:917-387-8065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-12
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07535986Medicaid