MEDICARE: 888 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	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	031840	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2139562	OTHER		PK

General Provider Information

NPI Number	:	1417297698
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	888 PHARMACY, INC.

Provider Business Mailing Address
First Line	:	4821 8TH. AVENUE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-2213
Country	:	US
Telephone Number	:	718-871-8833
Fax Number	:	718-871-8835

Provider Business Practice Location Address
First Line	:	4821 8TH. AVENUE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-2213
Country	:	US
Telephone Number	:	718-871-8833
Fax Number	:	718-871-8835

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HYUNHEE KIM
Credential	:
Telephone Number	:	718-871-8833

Provider Enumeration Date	:	02/25/2013
Last Update Date	:	03/06/2019

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Directions to “888 PHARMACY, INC. ” Practice Location

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