Provider Demographics
NPI:1922174770
Name:CARE WELL PHARMACY & SURGICAL INC
Entity Type:Organization
Organization Name:CARE WELL PHARMACY & SURGICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISING PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:P
Authorized Official - Last Name:TRIVEDI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:718-294-7147
Mailing Address - Street 1:826 E TREMONT AVE
Mailing Address - Street 2:BRONX
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10460-4146
Mailing Address - Country:US
Mailing Address - Phone:718-294-7147
Mailing Address - Fax:718-294-7146
Practice Address - Street 1:826 E TREMONT AVE
Practice Address - Street 2:BRONX
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460-4146
Practice Address - Country:US
Practice Address - Phone:718-294-7147
Practice Address - Fax:718-294-7146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-24
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027372183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02703877Medicaid
NY5549620001Medicare NSC