Provider Demographics
NPI:1760583579
Name:WARWICK PHARMACY CORP
Entity Type:Organization
Organization Name:WARWICK PHARMACY CORP
Other - Org Name:AKINS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANAK
Authorized Official - Middle Name:
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-986-2550
Mailing Address - Street 1:33 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-1332
Mailing Address - Country:US
Mailing Address - Phone:845-986-4581
Mailing Address - Fax:845-987-1378
Practice Address - Street 1:33 MAIN ST
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:NY
Practice Address - Zip Code:10990-1332
Practice Address - Country:US
Practice Address - Phone:845-986-2550
Practice Address - Fax:845-987-1378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY039457OtherPHARMACY LICENSE
FW1369087OtherDEA
FW1369087OtherDEA
NY039457OtherPHARMACY LICENSE