Provider Demographics
NPI:1710061510
Name:HIGHWAY PHARMACY CORP
Entity Type:Organization
Organization Name:HIGHWAY PHARMACY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:YARMOLINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-627-3400
Mailing Address - Street 1:730 KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-2235
Mailing Address - Country:US
Mailing Address - Phone:718-627-3400
Mailing Address - Fax:
Practice Address - Street 1:730 KINGS HIGHWAY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-2235
Practice Address - Country:US
Practice Address - Phone:718-627-3400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026625183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02559520Medicaid
NY3338399OtherNABP #
NY3338399OtherNABP #