=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285509083
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GOOD CARE PHARMACY NY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/09/2025
-----------------------------------------------------
Last Update Date | 10/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 24106 HILLSIDE AVE
-----------------------------------------------------
City | BELLEROSE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11426-1334
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-343-1000
-----------------------------------------------------
Fax | 718-343-1858
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 24106 HILLSIDE AVE
-----------------------------------------------------
City | BELLEROSE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11426-1334
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-343-1000
-----------------------------------------------------
Fax | 718-343-1858
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MOHAMMAD FAROOQ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 347-567-2823
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------