Provider Demographics
NPI:1659365849
Name:CONFUCIUS PHARMACY INC
Entity Type:Organization
Organization Name:CONFUCIUS PHARMACY INC
Other - Org Name:MANNINGS SURGICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:NG
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:347-551-3356
Mailing Address - Street 1:7 BOWERY STREET
Mailing Address - Street 2:STORE #A-104
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-6702
Mailing Address - Country:US
Mailing Address - Phone:129-664-4202
Mailing Address - Fax:212-966-5981
Practice Address - Street 1:7 BOWERY STREET
Practice Address - Street 2:STORE #A-104
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-6702
Practice Address - Country:US
Practice Address - Phone:212-966-4420
Practice Address - Fax:212-966-5981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-02
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1420107-DCA332B00000X
NY016069333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3365271OtherNCPDP NUMBER
NY01942709Medicaid
NY016069OtherPHARMACY LICENSE NUMBER
NY3365271OtherNCPDP NUMBER