Provider Demographics
NPI:1871189100
Name:CITY CARE PHARMACY
Entity Type:Organization
Organization Name:CITY CARE PHARMACY
Other - Org Name:CITY CARE PHARMACY, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FADY
Authorized Official - Middle Name:HELAL
Authorized Official - Last Name:KONDS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:347-476-5725
Mailing Address - Street 1:261 SIP AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306
Mailing Address - Country:US
Mailing Address - Phone:201-309-9900
Mailing Address - Fax:201-309-9901
Practice Address - Street 1:261 SIP AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306
Practice Address - Country:US
Practice Address - Phone:201-309-9900
Practice Address - Fax:201-309-9901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-21
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy