Healthcare Provider Details
I. General information
NPI: 1639099880
Provider Name (Legal Business Name): NOVA RX PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/17/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
370 HEMPSTEAD AVE
WEST HEMPSTEAD NY
11552-2046
US
IV. Provider business mailing address
370 HEMPSTEAD AVE
WEST HEMPSTEAD NY
11552-2046
US
V. Phone/Fax
- Phone: 516-214-4060
- Fax: 516-214-4084
- Phone: 516-214-4060
- Fax: 516-214-4084
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SABRINA
SULEYMANOV
Title or Position: PRESIDENT
Credential:
Phone: 516-214-4060