MEDICARE: DORAL PHARMACY LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	3336S0011X	Specialty Pharmacy
2	3336C0004X	Compounding Pharmacy
3	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1558051482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DORAL PHARMACY LLC

Provider Business Mailing Address
First Line	:	1797 PITKIN AVE 2ND FLOOR
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11212-7844
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1797 PITKIN AVE 2ND FLOOR
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11212-7844
Country	:	US
Telephone Number	:	718-971-1946
Fax Number	:	718-971-1947

Authorized Official
Title or Position	:	OWNER
Name	:	DAVID LIPSCHITZ
Credential	:
Telephone Number	:	718-971-1946

Provider Enumeration Date	:	05/12/2023
Last Update Date	:	01/19/2026

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