Provider Demographics
NPI:1821033994
Name:FEIN'S ETHICAL PHARMACY CORP.
Entity Type:Organization
Organization Name:FEIN'S ETHICAL PHARMACY CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMMAD
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:212-862-3315
Mailing Address - Street 1:2199 JACKSON PL
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-1104
Mailing Address - Country:US
Mailing Address - Phone:516-785-4817
Mailing Address - Fax:
Practice Address - Street 1:3586 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-3201
Practice Address - Country:US
Practice Address - Phone:212-862-3315
Practice Address - Fax:212-281-7217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY33078183500000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00260435Medicaid
NY5218120001Medicare NSC