Healthcare Provider Details

I. General information

NPI: 1073485207
Provider Name (Legal Business Name): PARUL 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

48 LOWELL AVE
ISLIP TERRACE NY
11752-1415
US

IV. Provider business mailing address

48 LOWELL AVE
ISLIP TERRACE NY
11752-1415
US

V. Phone/Fax

Practice location:
  • Phone: 631-581-7389
  • Fax: 631-581-4313
Mailing address:
  • Phone: 631-581-7389
  • Fax: 631-581-4313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CHANDRAKANT TRIVEDI
Title or Position: OWNER
Credential: R.PH
Phone: 631-581-4285