Provider Demographics
NPI:1902788581
Name:BISHT, PRIYANKA (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:PRIYANKA
Middle Name:
Last Name:BISHT
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1141 CORNWELL AVE
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-4732
Mailing Address - Country:US
Mailing Address - Phone:917-324-6818
Mailing Address - Fax:
Practice Address - Street 1:951 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-4240
Practice Address - Country:US
Practice Address - Phone:516-223-8233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072801183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist