MEDICARE: UNIVERSAL 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	028407	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2067740	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780639526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL PHARMACY INC

Provider Business Mailing Address
First Line	:	652 E 233RD ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-2802
Country	:	US
Telephone Number	:	718-696-1500
Fax Number	:	718-547-2646

Provider Business Practice Location Address
First Line	:	652 E 233RD ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-2802
Country	:	US
Telephone Number	:	718-696-1500
Fax Number	:	718-547-2646

Authorized Official
Title or Position	:	PRESIDENT
Name	:	IBRAR AHMED NADEEM
Credential	:
Telephone Number	:	718-696-1500

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	08/16/2023

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Directions to “UNIVERSAL PHARMACY INC ” Practice Location

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