Provider Demographics
NPI:1689423808
Name:ADAM RX PHARMACY INC
Entity type:Organization
Organization Name:ADAM RX PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEHATA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-357-0005
Mailing Address - Street 1:9508 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-7325
Mailing Address - Country:US
Mailing Address - Phone:718-333-5205
Mailing Address - Fax:718-333-5206
Practice Address - Street 1:9508 4TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-7325
Practice Address - Country:US
Practice Address - Phone:718-333-5205
Practice Address - Fax:718-333-5206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-20
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy