Provider Demographics
NPI:1801257704
Name:TWIN CHEMISTS INC
Entity type:Organization
Organization Name:TWIN CHEMISTS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, AO
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDOLPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHABIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-785-0120
Mailing Address - Street 1:353 NEWBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-4120
Mailing Address - Country:US
Mailing Address - Phone:516-785-0120
Mailing Address - Fax:516-785-0715
Practice Address - Street 1:2226 JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:GARDEN CITY PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-4708
Practice Address - Country:US
Practice Address - Phone:516-873-8600
Practice Address - Fax:516-873-8604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-19
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NY0331243336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY033124OtherBOP
2158887OtherPK
5816078OtherNCPDP
5816078OtherNCPDP