Healthcare Provider Details

I. General information

NPI: 1871401646
Provider Name (Legal Business Name): NEXORA HEALTH SUPPLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 NASSAU RD
ROOSEVELT NY
11575-1343
US

IV. Provider business mailing address

626 RXR PLZ FL 6
UNIONDALE NY
11556-3829
US

V. Phone/Fax

Practice location:
  • Phone: 631-517-1543
  • Fax: 631-517-1543
Mailing address:
  • Phone: 631-517-1543
  • Fax: 631-517-1543

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: MR. TAJINDER SINGH
Title or Position: MANAGER
Credential:
Phone: 631-517-1543