Healthcare Provider Details

I. General information

NPI: 1255240982
Provider Name (Legal Business Name): NUVIDA PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2451D E TREMONT AVE
BRONX NY
10461-2801
US

IV. Provider business mailing address

2451D E TREMONT AVE
BRONX NY
10461-2801
US

V. Phone/Fax

Practice location:
  • Phone: 718-887-0530
  • Fax: 718-887-0535
Mailing address:
  • Phone: 718-887-0530
  • Fax: 718-887-0535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: AHMED ENANY
Title or Position: OWNER
Credential:
Phone: 347-502-8905