Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
NEW STAGE PHARMACY INC
Active
Organization
NEW STAGE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHOSROW G MOGHADDAM (PRESIDENT)
(718) 465-2121
Entity
Organization
Contact information
Practice address
20419 HILLSIDE AVE, HOLLIS, NY 11423-2213
(516) 658-6854
Mailing address
20419 HILLSIDE AVE, HOLLIS, NY 11423-2213
(516) 658-6854
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10520
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00261789
—
NY
Enumeration date
01/30/2008
Last updated
01/30/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up