Healthcare Provider Details

I. General information

NPI: 1255296950
Provider Name (Legal Business Name): PHARMA EXPRESS RX, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2123 AVENUE Z
BROOKLYN NY
11235-2811
US

IV. Provider business mailing address

2123 AVENUE Z
BROOKLYN NY
11235-2811
US

V. Phone/Fax

Practice location:
  • Phone: 929-404-0234
  • Fax: 929-404-0235
Mailing address:
  • Phone: 929-404-0234
  • Fax: 929-404-0235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HARIS WAJAHAT
Title or Position: PRESIDENT
Credential:
Phone: 929-404-0234