Neab Pharmacy Corp

Primary specialty

PharmacyTaxonomy code 333600000X

License

022460 Issued in NY

Legal business name

NEAB PHARMACY CORP

Doing business as

same

Practice address

18901 Linden Blvd
St.Albans, NY 11412

Phone

(718) 341-0170

Fax

(718) 341-1333

NPI assigned

Feb 28, 2007

Last updated

Apr 8, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Raheel M Pervez

Title

President

Phone

(718) 341-0170

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• same Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1518095900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189-01 LINDEN BLVD",
            "city": "ST.ALBANS",
            "state": "NY",
            "postal_code": "11412",
            "telephone_number": "718-341-0170",
            "fax_number": "718-341-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18901 LINDEN BLVD",
            "city": "ST.ALBANS",
            "state": "NY",
            "postal_code": "11412",
            "telephone_number": "718-341-0170",
            "fax_number": "718-341-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAB PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "PERVEZ",
        "authorized_official_first_name": "RAHEEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-341-0170"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "022460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02247872",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "same",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adijah Sherrice Brabham, MS.ED
• Juanita Delgado, C.O.T.A
• Howard Gooch
• Rajani Goyal, M.D.
• Sharon Magwood

• Pharmacy in St.Albans, NY
• Providers in St.Albans, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.