Provider Demographics
NPI:1730297896
Name:AMAR PHARMACY INC.
Entity Type:Organization
Organization Name:AMAR PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAJANIKANT
Authorized Official - Middle Name:M
Authorized Official - Last Name:CONTRACTOR
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:212-567-6151
Mailing Address - Street 1:4446 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-2939
Mailing Address - Country:US
Mailing Address - Phone:212-567-6151
Mailing Address - Fax:212-567-6154
Practice Address - Street 1:4446 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-2939
Practice Address - Country:US
Practice Address - Phone:212-567-6151
Practice Address - Fax:212-567-6154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0182373336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00843807Medicaid
NY5306700001Medicare NSC