Healthcare Provider Details

I. General information

NPI: 1518893668
Provider Name (Legal Business Name): BRIGHT PHARMACY & MEDICAL SUPPLY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 BRIGHTON BEACH AVE
BROOKLYN NY
11235-7406
US

IV. Provider business mailing address

227 BRIGHTON BEACH AVE
BROOKLYN NY
11235-7406
US

V. Phone/Fax

Practice location:
  • Phone: 718-646-6444
  • Fax: 347-702-6246
Mailing address:
  • Phone: 718-646-6444
  • Fax: 347-702-6246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ASHIR DANILOV
Title or Position: PRESIDENT
Credential:
Phone: 718-646-6444