Healthcare Provider Details
I. General information
NPI: 1861331555
Provider Name (Legal Business Name): CONWAY DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/26/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14915 NORTHERN BLVD
FLUSHING NY
11354-4312
US
IV. Provider business mailing address
14915 NORTHERN BLVD
FLUSHING NY
11354-4312
US
V. Phone/Fax
- Phone: 929-300-7500
- Fax: 929-300-7502
- Phone: 929-300-7500
- Fax: 929-300-7502
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
AMING
LI
Title or Position: PRESIDENT
Credential:
Phone: 718-510-7295