Healthcare Provider Details

I. General information

NPI: 1427045913
Provider Name (Legal Business Name): RAM THAKUR ENTERPRISE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2005
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88-20B VAN WYCK EXPY
RICHMOND HILL NY
11418-2831
US

IV. Provider business mailing address

8820B VAN WYCK EXPY
RICHMOND HILL NY
11418-2831
US

V. Phone/Fax

Practice location:
  • Phone: 718-658-0012
  • Fax: 718-297-5600
Mailing address:
  • Phone: 718-658-0012
  • Fax: 718-297-5600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number022853
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number022853
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. ASHOK RAKHIT
Title or Position: PRESIDENT
Credential:
Phone: 718-658-0012