Healthcare Provider Details

I. General information

NPI: 1891132361
Provider Name (Legal Business Name): ALON ELIYAHU PHARM. D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2013
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1971 GRAND AVE
BRONX NY
10453-8301
US

IV. Provider business mailing address

1971 GRAND AVE
BRONX NY
10453-8301
US

V. Phone/Fax

Practice location:
  • Phone: 718-255-3705
  • Fax: 718-255-3706
Mailing address:
  • Phone: 718-255-3705
  • Fax: 718-255-3706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberI8267904
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03529400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: