Provider Demographics
NPI:1952475675
Name:BARRETTO PHARMACY INC
Entity Type:Organization
Organization Name:BARRETTO PHARMACY INC
Other - Org Name:BARRETTO PHARMACY INC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAHID
Authorized Official - Middle Name:QADEER
Authorized Official - Last Name:CHOHAN
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED PHARMACIS
Authorized Official - Phone:718-893-2000
Mailing Address - Street 1:1009 LONGWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10459-5105
Mailing Address - Country:US
Mailing Address - Phone:718-893-2000
Mailing Address - Fax:718-893-0500
Practice Address - Street 1:1009 LONGWOOD AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-5105
Practice Address - Country:US
Practice Address - Phone:718-893-2000
Practice Address - Fax:718-893-0500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3338781OtherNABP
NY02594407Medicaid
NY5161580001Medicare NSC