MEDICARE: MED MAX 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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1962369884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MED MAX PHARMACY INC.

Provider Business Mailing Address
First Line	:	1316-1324 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230
Country	:	US
Telephone Number	:	347-374-5117
Fax Number	:	347-374-5118

Provider Business Practice Location Address
First Line	:	1316-1324 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230
Country	:	US
Telephone Number	:	347-374-5117
Fax Number	:	347-374-5118

Authorized Official
Title or Position	:	PRESIDENT
Name	:	AHMED SUBHANI
Credential	:
Telephone Number	:	347-374-5117

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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