Healthcare Provider Details

I. General information

NPI: 1093458242
Provider Name (Legal Business Name): SUNSHINE PHARMACY OF NY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2022
Last Update Date: 04/15/2022
Certification Date: 04/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 KINGSTON AVE
BROOKLYN NY
11225-4472
US

IV. Provider business mailing address

411 KINGSTON AVE
BROOKLYN NY
11225-4472
US

V. Phone/Fax

Practice location:
  • Phone: 718-773-2020
  • Fax: 718-773-1299
Mailing address:
  • Phone: 718-773-2020
  • Fax: 718-773-1299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. ZEV ZYLBERBERG
Title or Position: PHARMACIST PRESIDENT
Credential: RPH
Phone: 718-376-6563