Provider Demographics
NPI:1831950112
Name:MEDS ON TIME PHARMACY CORP.
Entity type:Organization
Organization Name:MEDS ON TIME PHARMACY CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOISEY
Authorized Official - Middle Name:
Authorized Official - Last Name:NEKTALOV
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:347-712-7404
Mailing Address - Street 1:3147 LAWSON BLVD
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-3717
Mailing Address - Country:US
Mailing Address - Phone:516-208-7332
Mailing Address - Fax:516-208-7333
Practice Address - Street 1:3147 LAWSON BLVD
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-3717
Practice Address - Country:US
Practice Address - Phone:516-208-7332
Practice Address - Fax:516-208-7333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy