MEDICARE: MR. BERT ALLEN FRIEDMAN SR. PHARMACIST

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	021649-1	NY

General Provider Information

NPI Number	:	1972898682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BERT ALLEN FRIEDMAN SR. PHARMACIST

Provider Business Mailing Address
First Line	:	341 SIERRA VISTA LN
Second Line	:
City	:	VALLEY COTTAGE
State	:	NY
Zip	:	10989-2707
Country	:	US
Telephone Number	:	845-727-4151
Fax Number	:	845-727-4151

Provider Business Practice Location Address
First Line	:	1049 E 163RD ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10459-4510
Country	:	US
Telephone Number	:	718-842-5485
Fax Number	:

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

Provider Enumeration Date	:	06/10/2011
Last Update Date	:	03/08/2026

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Directions to “ MR. BERT ALLEN FRIEDMAN SR. PHARMACIST” Practice Location

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