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NPI Code Detail

MEDICARE: COMMUNITY AID PHARMACY INC.

MEDICARE: COMMUNITY AID 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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy033183NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12149318OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912300849
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY AID PHARMACY INC.
Provider Business Mailing Address
First Line : 436 AVENUE P
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-1971
Country : US
Telephone Number : 718-339-8118
Fax Number : 718-339-6385
Provider Business Practice Location Address
First Line : 436 AVENUE P
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-1971
Country : US
Telephone Number : 718-339-8118
Fax Number : 718-339-6385
Authorized Official
Title or Position : OWNER
Name : SADIA BHUTTA
Credential :
Telephone Number : 718-339-8118
Provider Enumeration Date : 10/07/2014
Last Update Date : 12/03/2025

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Directions to “COMMUNITY AID PHARMACY INC. ” Practice Location

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