MEDICARE: APOLLO 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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1689347924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APOLLO PHARMACY LLC

Provider Business Mailing Address
First Line	:	2255 ADAM CLAYTON POWELL JR BLVD
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10027-7807
Country	:	US
Telephone Number	:	917-464-5252
Fax Number	:

Provider Business Practice Location Address
First Line	:	2255 ADAM CLAYTON POWELL JR BLVD
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10027-7807
Country	:	US
Telephone Number	:	917-464-5252
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PARTNER, PHARMACIST
Name	:	DR. KALPESH P LAD
Credential	:	PHARMD.
Telephone Number	:	508-963-7310

Provider Enumeration Date	:	07/30/2021
Last Update Date	:	07/30/2021

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Directions to “APOLLO PHARMACY LLC ” Practice Location

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