Provider Demographics
NPI:1053651224
Name:NATURES PHARMACY INC
Entity type:Organization
Organization Name:NATURES PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SP PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GERSHON
Authorized Official - Middle Name:GENNADY
Authorized Official - Last Name:BATUROV
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:516-483-3000
Mailing Address - Street 1:397 FULTON AVE
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-4127
Mailing Address - Country:US
Mailing Address - Phone:516-483-3000
Mailing Address - Fax:516-483-3002
Practice Address - Street 1:397 FULTON AVE
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-4127
Practice Address - Country:US
Practice Address - Phone:516-483-3000
Practice Address - Fax:516-483-3002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-25
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6729640001Medicare NSC