Healthcare Provider Details

I. General information

NPI: 1528992260
Provider Name (Legal Business Name): SHERBINSKI PHARM RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19810 LINDEN BLVD
SAINT ALBANS NY
11412-3250
US

IV. Provider business mailing address

19810 LINDEN BLVD
SAINT ALBANS NY
11412-3250
US

V. Phone/Fax

Practice location:
  • Phone: 347-626-7007
  • Fax: 718-769-2180
Mailing address:
  • Phone: 347-626-7007
  • Fax: 718-769-2180

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: BENSION BRUCE BANGIEW
Title or Position: OWNER
Credential:
Phone: 347-626-7007