Provider Demographics
NPI:1801926019
Name:BORBAS PHARMACY, INC
Entity type:Organization
Organization Name:BORBAS PHARMACY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZOYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-677-9066
Mailing Address - Street 1:2046 BATH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-4806
Mailing Address - Country:US
Mailing Address - Phone:718-372-5686
Mailing Address - Fax:718-372-5684
Practice Address - Street 1:2046 BATH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4806
Practice Address - Country:US
Practice Address - Phone:718-372-5686
Practice Address - Fax:718-372-5684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
No251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02709680Medicaid
NY02709680Medicaid