Healthcare Provider Details

I. General information

NPI: 1659124568
Provider Name (Legal Business Name): FOREMOST PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2024
Last Update Date: 04/10/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 MERRICK RD
BALDWIN NY
11510-3330
US

IV. Provider business mailing address

814 MERRICK RD
BALDWIN NY
11510-3330
US

V. Phone/Fax

Practice location:
  • Phone: 718-535-3561
  • Fax: 718-535-3562
Mailing address:
  • Phone: 718-535-3561
  • Fax: 718-535-3562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. WAQAR ALI
Title or Position: PRESIDENT
Credential:
Phone: 718-535-3561