Healthcare Provider Details

I. General information

NPI: 1588546667
Provider Name (Legal Business Name): ARDENT PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

989 ALLERTON AVE
BRONX NY
10469-4336
US

IV. Provider business mailing address

989 ALLERTON AVE
BRONX NY
10469-4336
US

V. Phone/Fax

Practice location:
  • Phone: 718-405-9111
  • Fax: 718-405-9112
Mailing address:
  • Phone: 718-405-9111
  • Fax: 718-405-9112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BENIAMIN YUNUS
Title or Position: PRESIDENT/OWNER/SP
Credential:
Phone: 718-405-9111