MEDICARE: ARDENT 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	3336S0011X	Specialty Pharmacy
2	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	:	1588546667
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARDENT PHARMACY INC

Provider Business Mailing Address
First Line	:	989 ALLERTON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-4336
Country	:	US
Telephone Number	:	718-405-9111
Fax Number	:	718-405-9112

Provider Business Practice Location Address
First Line	:	989 ALLERTON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-4336
Country	:	US
Telephone Number	:	718-405-9111
Fax Number	:	718-405-9112

Authorized Official
Title or Position	:	PRESIDENT/OWNER/SP
Name	:	BENIAMIN YUNUS
Credential	:
Telephone Number	:	718-405-9111

Provider Enumeration Date	:	07/22/2025
Last Update Date	:	08/12/2025

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Directions to “ARDENT PHARMACY INC ” Practice Location

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