Healthcare Provider Details

I. General information

NPI: 1538694955
Provider Name (Legal Business Name): ALLURE SPECIALTY PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2017
Last Update Date: 11/11/2020
Certification Date: 11/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4377 BRONX BLVD
BRONX NY
10466
US

IV. Provider business mailing address

4377 BRONX BLVD
BRONX NY
10466
US

V. Phone/Fax

Practice location:
  • Phone: 866-293-1559
  • Fax: 888-828-6230
Mailing address:
  • Phone: 866-293-1559
  • Fax: 888-828-6230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: LUDOVICK YOUMBI
Title or Position: PHARMACIST IN CHARGE
Credential:
Phone: 866-293-1559