Healthcare Provider Details

I. General information

NPI: 1881068971
Provider Name (Legal Business Name): ENJOY PHARMACEUTICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2015
Last Update Date: 09/18/2023
Certification Date: 09/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4359 AMBOY RD
STATEN ISLAND NY
10312-3819
US

IV. Provider business mailing address

4359 AMBOY RD
STATEN ISLAND NY
10312-3819
US

V. Phone/Fax

Practice location:
  • Phone: 718-554-4016
  • Fax: 718-554-4097
Mailing address:
  • Phone: 718-554-4016
  • Fax: 718-554-4097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number034050
License Number StateNY

VIII. Authorized Official

Name: EREINY FARAG
Title or Position: PRESIDENT
Credential:
Phone: 718-554-4016