Provider Demographics
NPI:1447323928
Name:ALBANY PHARMACY INC.
Entity type:Organization
Organization Name:ALBANY PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:ANJUM
Authorized Official - Last Name:SHAFI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:718-756-6061
Mailing Address - Street 1:178 ALBANY AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-2105
Mailing Address - Country:US
Mailing Address - Phone:718-756-6061
Mailing Address - Fax:718-404-0705
Practice Address - Street 1:178 ALBANY AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-2105
Practice Address - Country:US
Practice Address - Phone:718-756-6061
Practice Address - Fax:718-404-0705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0183883336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3381744OtherNABP NUMBER
NY00862464Medicaid
NY4052670001Medicare ID - Type Unspecified