Healthcare Provider Details

I. General information

NPI: 1053805788
Provider Name (Legal Business Name): CASTLETON CHEMISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2018
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4825 5TH AVE
BROOKLYN NY
11220-1916
US

IV. Provider business mailing address

2106 AVENUE Y
BROOKLYN NY
11235-2909
US

V. Phone/Fax

Practice location:
  • Phone: 929-308-2727
  • Fax: 929-308-2726
Mailing address:
  • Phone: 917-319-5551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number036678
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. FADY HUSSEIN
Title or Position: OWNER
Credential: PHARMD.
Phone: 917-319-5551