MEDICARE: AMANI 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
2	3336C0003X	Community/Retail Pharmacy	034437	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2158713	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598120727
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMANI PHARMACY INC

Provider Business Mailing Address
First Line	:	1162 LIBERTY AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11208-3332
Country	:	US
Telephone Number	:	347-425-1996
Fax Number	:	347-425-1997

Provider Business Practice Location Address
First Line	:	1162 LIBERTY AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11208-3332
Country	:	US
Telephone Number	:	347-425-1996
Fax Number	:	347-425-1997

Authorized Official
Title or Position	:	MANAGER
Name	:	MARC SINGER
Credential	:
Telephone Number	:	347-425-1996

Provider Enumeration Date	:	12/14/2015
Last Update Date	:	09/19/2025

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