Provider Demographics
NPI:1801962576
Name:NEIGHBORHOOD FRIENDLY PHARMACY INC
Entity type:Organization
Organization Name:NEIGHBORHOOD FRIENDLY PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-855-8066
Mailing Address - Street 1:712 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-3905
Mailing Address - Country:US
Mailing Address - Phone:718-855-8066
Mailing Address - Fax:718-855-8818
Practice Address - Street 1:712 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-3905
Practice Address - Country:US
Practice Address - Phone:718-855-8066
Practice Address - Fax:718-855-8818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026157333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02423150Medicaid
NY5086360001Medicare NSC