MEDICARE: MAIN 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	035525	NY

General Provider Information

NPI Number	:	1164949517
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAIN PHARMACY INC

Provider Business Mailing Address
First Line	:	600 MORRIS AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-4700
Country	:	US
Telephone Number	:	718-401-4422
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 MORRIS AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-4700
Country	:	US
Telephone Number	:	718-401-4422
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MUHAMMAD HASSAN
Credential	:
Telephone Number	:	516-523-9200

Provider Enumeration Date	:	08/26/2017
Last Update Date	:	03/08/2025

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Directions to “MAIN PHARMACY INC ” Practice Location

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