Provider Demographics
NPI:1205068475
Name:CARE MAX PHARMACY INC.
Entity type:Organization
Organization Name:CARE MAX PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WINNIE
Authorized Official - Middle Name:YING
Authorized Official - Last Name:CHEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:718-833-6700
Mailing Address - Street 1:6721 FORT HAMILTON PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-5847
Mailing Address - Country:US
Mailing Address - Phone:718-833-6700
Mailing Address - Fax:718-833-6701
Practice Address - Street 1:6721 FORT HAMILTON PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-5847
Practice Address - Country:US
Practice Address - Phone:718-833-6700
Practice Address - Fax:718-833-6701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2022-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0296103336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03144034Medicaid
NY6334780001Medicare NSC