Provider Demographics
NPI:1942295746
Name:POINT PHARMACY,LLC.
Entity Type:Organization
Organization Name:POINT PHARMACY,LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:INDRAVADAN
Authorized Official - Middle Name:
Authorized Official - Last Name:THAKKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-328-3784
Mailing Address - Street 1:900 HUNTS POINT AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10474-5402
Mailing Address - Country:US
Mailing Address - Phone:718-328-3784
Mailing Address - Fax:718-328-5061
Practice Address - Street 1:900 HUNTS POINT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10474-5402
Practice Address - Country:US
Practice Address - Phone:718-328-3784
Practice Address - Fax:718-328-5061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-18
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023294332B00000X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01741717Medicaid
NY6063000001Medicare NSC