Healthcare Provider Details

I. General information

NPI: 1902649379
Provider Name (Legal Business Name): NORTHERN SCRIPTS CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2024
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6451 108TH ST
FOREST HILLS NY
11375-1612
US

IV. Provider business mailing address

6451 108TH ST
FOREST HILLS NY
11375-1612
US

V. Phone/Fax

Practice location:
  • Phone: 516-304-5038
  • Fax: 516-268-9311
Mailing address:
  • Phone: 516-304-5038
  • Fax: 516-268-9311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SHAMUEL BORUKHOV
Title or Position: PRESIDENT
Credential:
Phone: 516-304-5038