Healthcare Provider Details

I. General information

NPI: 1417829698
Provider Name (Legal Business Name): FRESH MEDS PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7145 160TH ST STE 1
FRESH MEADOWS NY
11365-3079
US

IV. Provider business mailing address

7145 160TH ST STE 1
FRESH MEADOWS NY
11365-3079
US

V. Phone/Fax

Practice location:
  • Phone: 718-685-6077
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: LIRAN SASSON
Title or Position: PRESIDENT
Credential:
Phone: 718-685-6077