Healthcare Provider Details

I. General information

NPI: 1376478594
Provider Name (Legal Business Name): ROSEDALE PHARMACY NY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14518 243RD ST
ROSEDALE NY
11422-2411
US

IV. Provider business mailing address

14518 243RD ST
ROSEDALE NY
11422-2411
US

V. Phone/Fax

Practice location:
  • Phone: 347-548-0441
  • Fax: 347-296-3237
Mailing address:
  • Phone: 347-548-0441
  • Fax: 347-296-3237

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: HARMANPREET PAL SINGH
Title or Position: OWNER
Credential:
Phone: 347-433-2832