=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144148032
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CENTURY CARE PHARMACY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/08/2026
-----------------------------------------------------
Last Update Date | 07/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8266 AUSTIN ST
-----------------------------------------------------
City | KEW GARDENS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11415-1445
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-454-9104
-----------------------------------------------------
Fax | 347-454-9106
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8266 AUSTIN ST
-----------------------------------------------------
City | KEW GARDENS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11415-1445
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-454-9104
-----------------------------------------------------
Fax | 347-454-9106
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | SADIA MANSOOR
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 347-454-9104
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------