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
YMD PHARMACY, INC.
Active
Organization
YMD PHARMACY, INC.
Active
Other names
YMD Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MO A DALIA (MANAGER - OWNER)
(718) 221-6814
Entity
Organization
Contact information
Practice address
519 UTICA AVE, STORE # 3, BROOKLYN, NY 11203-1916
(718) 221-6814
(718) 221-6815
Mailing address
519 UTICA AVE, STORE # 3, BROOKLYN, NY 11203-1916
(718) 221-6814
(718) 221-6815
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
031062
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03432611
—
NY
01
—
1962773051
NPI
NY
01
—
5804174
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/20/2012
Last updated
07/23/2019
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