Provider Demographics
NPI:1841591286
Name:ALMARK PHARMACY INC.
Entity Type:Organization
Organization Name:ALMARK PHARMACY INC.
Other - Org Name:ALMARK PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-206-8680
Mailing Address - Street 1:2094 LINDEN BLVD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-7412
Mailing Address - Country:US
Mailing Address - Phone:347-770-8633
Mailing Address - Fax:347-770-8631
Practice Address - Street 1:2094 LINDEN BLVD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-7412
Practice Address - Country:US
Practice Address - Phone:347-770-8633
Practice Address - Fax:347-770-8631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-16
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
NY0304363336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5801786OtherNCPDP PROVIDER IDENTIFICATION NUMBER
NY03303202Medicaid
NY03303202Medicaid