MEDICARE: KEW GARDENS DRUG 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
1	3336C0003X	Community/Retail Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies	019239	NY
3	333600000X	Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3388508	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841398872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEW GARDENS DRUG CORP

Provider Business Mailing Address
First Line	:	11807 METROPOLITAN AVE
Second Line	:
City	:	KEW GARDENS
State	:	NY
Zip	:	11415-2020
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11807 METROPOLITAN AVE
Second Line	:
City	:	KEW GARDENS
State	:	NY
Zip	:	11415-2020
Country	:	US
Telephone Number	:	718-849-6700
Fax Number	:	718-849-1659

Authorized Official
Title or Position	:	OWNER
Name	:	FAROOQ KHAWAJA
Credential	:	RPH
Telephone Number	:	718-849-6700

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	09/11/2025

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Directions to “KEW GARDENS DRUG CORP ” Practice Location

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