Abhinav Corp
Organization Active NPI Pharmacist · Brooklyn, NY
NPI 1609929686 · NPPES record last updated Jan 14, 2010
Key facts
- NPI
- 1609929686
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- License
- 024907 (NY)
- Legal business name
- ABHINAV CORP
- Practice address
- 739 New Lots Ave
Brooklyn, NY 11207-7305 - Phone
- (718) 649-9535
- Fax
- (718) 649-3456
- NPI assigned
- Jan 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Narendar Reddy Bokka
- Title
- Supervising Pharmacist
- Phone
- (516) 238-2279
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220409000156 | NY | Part B Supplier - Pharmacy | 0042578452 | Practice locations: Brooklyn, NY |
National Provider Directory
Locations
739 New Lots Ave
Brooklyn, NY 11207
Phone (718) 649-9535
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 024907 | NY | Yes |
Addresses
Primary practice location
739 New Lots Ave
Brooklyn, NY 11207-7305
Mailing address
739 New Lots Ave
Brooklyn, NY 11207-7305
Phone (718) 649-9535
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02081276 | Medicaid | NY |
Other names
- New Lots Pharmacy
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.