MEDICARE: KANAK PARMAR PHARMD

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	183500000X	Pharmacist	067029	NY

General Provider Information

NPI Number	:	1821697723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KANAK PARMAR PHARMD

Provider Business Mailing Address
First Line	:	4302 157TH ST
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11355-1344
Country	:	US
Telephone Number	:	646-251-8343
Fax Number	:

Provider Business Practice Location Address
First Line	:	8157 LEFFERTS BLVD
Second Line	:
City	:	KEW GARDENS
State	:	NY
Zip	:	11415-1728
Country	:	US
Telephone Number	:	718-850-5220
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2020
Last Update Date	:	10/21/2020

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