Healthcare Provider Details

I. General information

NPI: 1588573752
Provider Name (Legal Business Name): DOSEPACK PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25815 HILLSIDE AVE
GLEN OAKS NY
11004-1600
US

IV. Provider business mailing address

25815 HILLSIDE AVE
GLEN OAKS NY
11004-1600
US

V. Phone/Fax

Practice location:
  • Phone: 718-210-1477
  • Fax: 845-558-3687
Mailing address:
  • Phone: 718-210-1477
  • Fax: 845-558-3687

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: MUHAMMAD ATIF ISHTIAQ
Title or Position: PRESIDENT
Credential:
Phone: 718-210-1477