Healthcare Provider Details

I. General information

NPI: 1982162913
Provider Name (Legal Business Name): NILKANTH PHARMACY LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2019
Last Update Date: 08/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 SAW MILL RIVER RD
YONKERS NY
10701-5720
US

IV. Provider business mailing address

321 SAW MILL RIVER RD
YONKERS NY
10701-5720
US

V. Phone/Fax

Practice location:
  • Phone: 914-613-9374
  • Fax: 914-613-9376
Mailing address:
  • Phone: 914-613-9374
  • Fax: 914-613-9376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SEEMA NIMESH PATEL
Title or Position: OWNER
Credential:
Phone: 914-613-9374