MEDICARE: NEXMED PHARMACY LLC.

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	3336C0003X	Community/Retail Pharmacy

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

General Provider Information

NPI Number	:	1427427657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXMED PHARMACY LLC.

Provider Business Mailing Address
First Line	:	239 W 238TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-2455
Country	:	US
Telephone Number	:	516-243-7702
Fax Number	:	516-243-7703

Provider Business Practice Location Address
First Line	:	239 W 238TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-2455
Country	:	US
Telephone Number	:	516-243-7702
Fax Number	:	516-243-7703

Authorized Official
Title or Position	:	OWNER
Name	:	FOUZIA ILYAS
Credential	:
Telephone Number	:	646-402-2613

Provider Enumeration Date	:	09/17/2015
Last Update Date	:	05/27/2022

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Directions to “NEXMED PHARMACY LLC. ” Practice Location

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