MEDICARE: WILLEN PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	018771	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2064198	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033279278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLEN PHARMACY INC

Provider Business Mailing Address
First Line	:	3800 E TREMONT AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-2455
Country	:	US
Telephone Number	:	718-239-7900
Fax Number	:	718-239-7901

Provider Business Practice Location Address
First Line	:	3800 E TREMONT AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-2455
Country	:	US
Telephone Number	:	718-239-7900
Fax Number	:	718-239-7901

Authorized Official
Title or Position	:	SUPERVISING PHARMACIST
Name	:	RUSHDAN ISLAM
Credential	:	M.PHARM
Telephone Number	:	718-239-7900

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	06/06/2025

Similar Medicare Providers

1518408327 — SHAHED KHANDAKAR
Practice Location Address:

3800 E TREMONT AVE
BRONX, NY
10465-2455

Practice Phone: 718-239-7900
Practice Fax:

1023664349 — DR. RUSHDAN ISLAM PHARM D.
Practice Location Address:

3800 E TREMONT AVE
BRONX, NY
10465-2455

Practice Phone: 718-239-7900
Practice Fax:

1497087092 — MAMAKIRI MAPONYA
Practice Location Address:

239 W 238TH ST
BRONX, NY
10463-2455

Practice Phone: 347-252-6043
Practice Fax: 347-326-8320

1427427657 — NEXMED PHARMACY LLC.
Practice Location Address:

239 W 238TH ST
BRONX, NY
10463-2455

Practice Phone: 516-243-7702
Practice Fax: 516-243-7703

1184086365 — ANTONIA MATULJ PHARM D
Practice Location Address:

239 W 238TH ST
BRONX, NY
10463-2455

Practice Phone: 347-252-6043
Practice Fax:

1952024911 — VICTORIA MILLER NP
Practice Location Address:

2455 3RD AVE APT 6E
BRONX, NY
10451-2561

Practice Phone: 386-333-0363
Practice Fax: 917-525-5378

Directions to “WILLEN PHARMACY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.