Healthcare Provider Details

I. General information

NPI: 1528076635
Provider Name (Legal Business Name): METRO-NORTH PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1972 1ST AVE
NEW YORK NY
10029-6430
US

IV. Provider business mailing address

16 FLAG HILL RD
CHAPPAQUA NY
10514-3032
US

V. Phone/Fax

Practice location:
  • Phone: 914-747-6845
  • Fax: 212-427-1190
Mailing address:
  • Phone: 914-747-6845
  • Fax: 212-427-1190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number024291
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number024291
License Number StateNY

VIII. Authorized Official

Name: SHAHIDA NASREEN QADIR
Title or Position: PRES.
Credential: BS
Phone: 212-427-1718