MEDICARE: GOOD FAITH PHARMACY LLC

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1750004735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD FAITH PHARMACY LLC

Provider Business Mailing Address
First Line	:	11511 MERRICK BLVD
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11434-1851
Country	:	US
Telephone Number	:	718-880-2355
Fax Number	:	718-880-2366

Provider Business Practice Location Address
First Line	:	115-11 MERRICK BLVD
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11434
Country	:	US
Telephone Number	:	718-880-2365
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ABDULLAH KHAN
Credential	:
Telephone Number	:	718-880-2355

Provider Enumeration Date	:	09/23/2022
Last Update Date	:	03/04/2026

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Directions to “GOOD FAITH PHARMACY LLC ” Practice Location

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