Provider Demographics
NPI:1760164032
Name:COMMUNITY RX INC
Entity Type:Organization
Organization Name:COMMUNITY RX INC
Other - Org Name:FOSTER MAAZ PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:QASIM
Authorized Official - Last Name:ANWAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-421-5533
Mailing Address - Street 1:1056 CONEY ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-2303
Mailing Address - Country:US
Mailing Address - Phone:718-421-5533
Mailing Address - Fax:718-421-7440
Practice Address - Street 1:1056 CONEY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-2303
Practice Address - Country:US
Practice Address - Phone:718-421-5533
Practice Address - Fax:718-421-7440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-04
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY040480OtherBOARD LICENSE