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NPI Code Detail

MEDICARE: VISIONS STORE CORP.

MEDICARE: VISIONS STORE CORP.
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
13336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1041934OTHERNYPHARMACY

General Provider Information

NPI Number : 1619842119
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISIONS STORE CORP.
Provider Business Mailing Address
First Line : 1325 FOSTER AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-1511
Country : US
Telephone Number : 347-240-4261
Fax Number : 347-240-4262
Provider Business Practice Location Address
First Line : 1325 FOSTER AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-1511
Country : US
Telephone Number : 347-240-4261
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ALI AHMED
Credential :
Telephone Number : 347-240-4261
Provider Enumeration Date : 10/06/2025
Last Update Date : 02/03/2026

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Directions to “VISIONS STORE CORP. ” Practice Location

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