Provider Demographics
NPI:1972638732
Name:HEALTH TREASURES PHARMACY, INC
Entity Type:Organization
Organization Name:HEALTH TREASURES PHARMACY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:YEVGENY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOYKHET
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:718-333-0395
Mailing Address - Street 1:8512 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-3253
Mailing Address - Country:US
Mailing Address - Phone:718-333-0395
Mailing Address - Fax:
Practice Address - Street 1:8512 20TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-3253
Practice Address - Country:US
Practice Address - Phone:718-333-0395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025064332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02177333Medicaid
NY02177333Medicaid