Healthcare Provider Details

I. General information

NPI: 1558051482
Provider Name (Legal Business Name): DORAL PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2023
Last Update Date: 01/19/2026
Certification Date: 01/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1797 PITKIN AVE 2ND FLOOR
BROOKLYN NY
11212-7844
US

IV. Provider business mailing address

1797 PITKIN AVE 2ND FLOOR
BROOKLYN NY
11212-7844
US

V. Phone/Fax

Practice location:
  • Phone: 718-971-1946
  • Fax: 718-971-1947
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DAVID LIPSCHITZ
Title or Position: OWNER
Credential:
Phone: 718-971-1946