MEDICARE: NOHA 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	019736	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

General Provider Information

NPI Number	:	1609850189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOHA PHARMACY INC.

Provider Business Mailing Address
First Line	:	291 KNICKERBOCKER AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11237-3103
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	291 KNICKERBOCKER AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11237-3103
Country	:	US
Telephone Number	:	718-456-5475
Fax Number	:	718-501-1003

Authorized Official
Title or Position	:	SUPERVISOR/PHARMACIST
Name	:	MR. AHMED MAHMOUD NEGM
Credential	:
Telephone Number	:	718-456-5475

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	08/22/2020

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Directions to “NOHA PHARMACY INC. ” Practice Location

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