Provider Demographics
NPI:1790498418
Name:NEW ROCK PHARMACY INC.
Entity Type:Organization
Organization Name:NEW ROCK PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUMANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEHADEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-632-7272
Mailing Address - Street 1:378 NORTH AVE
Mailing Address - Street 2:GROUND FL
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801
Mailing Address - Country:US
Mailing Address - Phone:914-632-7272
Mailing Address - Fax:914-636-4425
Practice Address - Street 1:378 NORTH AVE
Practice Address - Street 2:GROUND FL
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801
Practice Address - Country:US
Practice Address - Phone:914-632-7272
Practice Address - Fax:914-636-4425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy