MEDICARE: PHARMAHOUSERX, 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	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1922971597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMAHOUSERX, LLC

Provider Business Mailing Address
First Line	:	5411 18TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1928
Country	:	US
Telephone Number	:	718-502-6872
Fax Number	:

Provider Business Practice Location Address
First Line	:	5411 18TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1928
Country	:	US
Telephone Number	:	718-502-6872
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HARIS WAJAHAT
Credential	:
Telephone Number	:	516-747-9100

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	09/29/2025

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Directions to “PHARMAHOUSERX, LLC ” Practice Location

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