=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962779074
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PAPAS PHARMACY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/18/2011
-----------------------------------------------------
Last Update Date | 09/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3979 LACONIA AVE
-----------------------------------------------------
City | BRONX
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10466-4916
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-947-9500
-----------------------------------------------------
Fax | 347-947-9502
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3979 LACONIA AVE
-----------------------------------------------------
City | BRONX
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10466
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-947-9500
-----------------------------------------------------
Fax | 347-947-9502
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACIST IN CHARGE
-----------------------------------------------------
Name | PAPA ADJEI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 347-947-9500
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 031092
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------