MEDICARE: HARLEM DRUGS 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	025993	NY
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
2	3332397	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1699859728
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARLEM DRUGS INC

Provider Business Mailing Address
First Line	:	565 MALCOLM X BLVD
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10037-1742
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	565 MALCOLM X BLVD
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10037-1742
Country	:	US
Telephone Number	:	212-281-7276
Fax Number	:	212-281-7279

Authorized Official
Title or Position	:	PRES
Name	:	MINI KURIAN
Credential	:
Telephone Number	:	914-552-3523

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	09/11/2025

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Directions to “HARLEM DRUGS INC ” Practice Location

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