Provider Demographics
NPI:1356383814
Name:NEVINS PHARMACY
Entity type:Organization
Organization Name:NEVINS PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEENY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZBARSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-237-1344
Mailing Address - Street 1:34 NEVINS ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-1020
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:34 NEVINS ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-1020
Practice Address - Country:US
Practice Address - Phone:718-237-1344
Practice Address - Fax:718-243-0081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X
NY016701333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Not Answered333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3369609OtherOTHER ID NUMBER-COMMERCIAL NUMBER