Provider Demographics
NPI:1851543045
Name:BRIGHT PHARMA INC.
Entity Type:Organization
Organization Name:BRIGHT PHARMA INC.
Other - Org Name:BRIGHT AID PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:CHENNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-293-0040
Mailing Address - Street 1:142 E 170TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10452-7021
Mailing Address - Country:US
Mailing Address - Phone:718-293-0040
Mailing Address - Fax:718-293-3003
Practice Address - Street 1:142 E 170TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-7021
Practice Address - Country:US
Practice Address - Phone:718-293-0040
Practice Address - Fax:718-293-3003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0290893336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6206060001Medicare NSC