Healthcare Provider Details
I. General information
NPI: 1013829787
Provider Name (Legal Business Name): 50 OCEANA PHARMACY CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3211 CONEY ISLAND AVE
BROOKLYN NY
11235-7072
US
IV. Provider business mailing address
3211 CONEY ISLAND AVE
BROOKLYN NY
11235-7072
US
V. Phone/Fax
- Phone: 347-868-6394
- Fax: 866-905-8873
- Phone: 347-868-6394
- Fax: 866-905-8873
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROMEEZA
ASHRAF
Title or Position: OWNER
Credential:
Phone: 917-291-0140