Healthcare Provider Details

I. General information

NPI: 1134030885
Provider Name (Legal Business Name): BEACH PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

656 BEACH AVE
BRONX NY
10473
US

IV. Provider business mailing address

656 BEACH AVE
BRONX NY
10473
US

V. Phone/Fax

Practice location:
  • Phone: 718-378-7000
  • Fax: 718-378-7001
Mailing address:
  • Phone: 718-378-7000
  • Fax: 718-378-7001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: RIHAM F ESHAIBA
Title or Position: PRESIDENT
Credential:
Phone: 718-378-7000