Healthcare Provider Details

I. General information

NPI: 1124932819
Provider Name (Legal Business Name): NEW CARE PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 GRACE AVE
GREAT NECK NY
11021-2447
US

IV. Provider business mailing address

10 GRACE AVE
GREAT NECK NY
11021-2447
US

V. Phone/Fax

Practice location:
  • Phone: 516-472-7689
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number StateNULL

VIII. Authorized Official

Name: BORIS YAKUBOV
Title or Position: PRESIDENT
Credential:
Phone: 516-472-7689