MEDICARE: KEY CARE PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	035960	NY
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2175895	OTHER		PK

General Provider Information

NPI Number	:	1124528500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEY CARE PHARMACY INC

Provider Business Mailing Address
First Line	:	3411 CHURCH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-2713
Country	:	US
Telephone Number	:	718-693-1957
Fax Number	:	718-693-0150

Provider Business Practice Location Address
First Line	:	3411 CHURCH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-2713
Country	:	US
Telephone Number	:	718-693-1957
Fax Number	:	718-693-0150

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSELINE POULARD
Credential	:
Telephone Number	:	718-693-1957

Provider Enumeration Date	:	02/13/2018
Last Update Date	:	07/23/2025

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Directions to “KEY CARE PHARMACY INC ” Practice Location

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