Healthcare Provider Details

I. General information

NPI: 1295778959
Provider Name (Legal Business Name): NEW ROCHELLE PRESCRIPTION CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 02/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551 MAIN ST
NEW ROCHELLE NY
10801-7214
US

IV. Provider business mailing address

551 MAIN ST
NEW ROCHELLE NY
10801-7214
US

V. Phone/Fax

Practice location:
  • Phone: 914-636-2225
  • Fax: 914-235-1120
Mailing address:
  • Phone: 914-636-2225
  • Fax: 914-235-1120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number017203
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number017203
License Number StateNY

VIII. Authorized Official

Name: MR. POPATLAL A PATEL
Title or Position: SUPERVISING PHARMACIST
Credential: R. PH
Phone: 914-636-2225