Provider Demographics
NPI:1457931271
Name:NOSTRAND HEALTH PHARMACY INC
Entity Type:Organization
Organization Name:NOSTRAND HEALTH PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISING RPH
Authorized Official - Prefix:DR
Authorized Official - First Name:NINEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MOGILEVICH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:718-559-0887
Mailing Address - Street 1:3901 NOSTRAND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2106
Mailing Address - Country:US
Mailing Address - Phone:718-559-0887
Mailing Address - Fax:718-559-0910
Practice Address - Street 1:3901 NOSTRAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2106
Practice Address - Country:US
Practice Address - Phone:718-559-0887
Practice Address - Fax:718-559-0910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-14
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy