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CORAL PHARMACY INC NPI 1184635724


NPI Information

NPI: 1184635724
Provider Name: CORAL PHARMACY INC

Doing Business As: CORAL PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
4126 BROADWAY
NEW YORK, NY
ZIP 10033
Phone: (212) 795-3894
Get Directions

CORAL PHARMACY INC is a community/retail pharmacy pharmacy in New York, NY. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. CORAL PHARMACY INC NPI is 1184635724. The provider is registered as an organization entity type.
The provider Is Doing Business As Coral Pharmacy.

The provider's business location address is:

4126 BROADWAY
NEW YORK, NY
ZIP 10033-703
Phone: (212) 795-3894
Fax: (212) 795-3894

The provider's authorized official is Alfred Licciardello .
The authorized official title is Supervising Pharmacist and has the following contact phone number (212) 795-3894.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 2/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy027845NEW YORKNo
23336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15690320001MEDICARE NSCNEW YORK
23375929OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
35690320001MEDICARE ID-TYPE UNSPECIFIED
402757880MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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