Healthcare Provider Details

I. General information

NPI: 1487560496
Provider Name (Legal Business Name): HEALIX PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17804 JAMAICA AVE
JAMAICA NY
11432-5615
US

IV. Provider business mailing address

17804 JAMAICA AVE
JAMAICA NY
11432-5615
US

V. Phone/Fax

Practice location:
  • Phone: 718-374-3490
  • Fax: 718-374-3491
Mailing address:
  • Phone: 718-374-3490
  • Fax: 718-374-3491

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: FAHAD JAVED
Title or Position: SUPERVISING PHARMACIST
Credential:
Phone: 718-374-3490