Healthcare Provider Details

I. General information

NPI: 1679266324
Provider Name (Legal Business Name): HEMPSTEAD CHEMIST INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2023
Last Update Date: 06/26/2023
Certification Date: 05/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 N FRANKLIN ST
HEMPSTEAD NY
11550-3021
US

IV. Provider business mailing address

86 N FRANKLIN ST
HEMPSTEAD NY
11550-3021
US

V. Phone/Fax

Practice location:
  • Phone: 516-292-2424
  • Fax: 516-292-2442
Mailing address:
  • Phone: 516-292-2424
  • Fax: 516-292-2442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL KANDCHOROV
Title or Position: SUPERVISING PHARMACIST/OWNER
Credential: RPH
Phone: 347-567-5058