Provider Demographics
NPI:1336236314
Name:COMPASHIONE PHARMACY INC
Entity Type:Organization
Organization Name:COMPASHIONE PHARMACY INC
Other - Org Name:COMPASHIONE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RUBBAB
Authorized Official - Middle Name:
Authorized Official - Last Name:SEHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-439-8383
Mailing Address - Street 1:5002 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-1814
Mailing Address - Country:US
Mailing Address - Phone:718-439-8383
Mailing Address - Fax:
Practice Address - Street 1:5002 4TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-1814
Practice Address - Country:US
Practice Address - Phone:718-439-8383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0284083336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5982220001Medicare NSC