Healthcare Provider Details

I. General information

NPI: 1740104694
Provider Name (Legal Business Name): MEDICINE DEPOT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 MANHATTAN AVE
BROOKLYN NY
11206-2501
US

IV. Provider business mailing address

86 MANHATTAN AVE
BROOKLYN NY
11206-2501
US

V. Phone/Fax

Practice location:
  • Phone: 718-963-3923
  • Fax: 718-963-3931
Mailing address:
  • Phone: 718-963-3923
  • Fax: 718-963-3931

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: JANARDHAN SUNKAM
Title or Position: OWNER
Credential:
Phone: 718-963-3923