Healthcare Provider Details

I. General information

NPI: 1043746969
Provider Name (Legal Business Name): CHASE PHARMACY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3664 WHITE PLAINS RD
BRONX NY
10467-5736
US

IV. Provider business mailing address

3664 WHITE PLAINS RD
BRONX NY
10467-5736
US

V. Phone/Fax

Practice location:
  • Phone: 347-449-6513
  • Fax: 347-449-6514
Mailing address:
  • Phone: 347-449-6513
  • Fax: 347-449-6514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number035405
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number3336C0004X
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA A. NYARKO
Title or Position: PHARMACIST
Credential:
Phone: 347-449-6513