Healthcare Provider Details

I. General information

NPI: 1730523549
Provider Name (Legal Business Name): TRUE NORTH HEALTH PHARMACY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2013
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 LAKEVILLE RD
NEW HYDE PARK NY
11042-1118
US

IV. Provider business mailing address

1983 MARCUS AVE STE 118
NEW HYDE PARK NY
11042-1016
US

V. Phone/Fax

Practice location:
  • Phone: 833-920-8486
  • Fax: 516-734-7782
Mailing address:
  • Phone: 833-920-8486
  • Fax: 516-734-7782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number033572
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number033572
License Number StateNY

VIII. Authorized Official

Name: MRS. DONNA DRUMMOND
Title or Position: SVP, CHIEF EXPENSE OFFICER
Credential:
Phone: 833-920-8486