Healthcare Provider Details

I. General information

NPI: 1073381356
Provider Name (Legal Business Name): SILVER CARE PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2023
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3819 UNION ST STE 102
FLUSHING NY
11354-5588
US

IV. Provider business mailing address

3819 UNION ST STE 102
FLUSHING NY
11354-5588
US

V. Phone/Fax

Practice location:
  • Phone: 718-445-8585
  • Fax: 718-445-8586
Mailing address:
  • Phone: 718-445-8585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HASEEB SHAH
Title or Position: OWNER
Credential:
Phone: 718-445-8585