Healthcare Provider Details

I. General information

NPI: 1477418358
Provider Name (Legal Business Name): HEALTHY TREMONT RX CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
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 Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ALON ELIYAHU
Title or Position: OWNER
Credential:
Phone: 718-551-8201