Organization
CEDRA HEALTHCARE LLC
Active
Other names
Cedra Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MAZEN KARNABY (CEO)
(917) 836-8886
Entity
Organization
Contact information
Practice address
724 ELTON AVE, BRONX, NY 10455-1244
(917) 473-6030
(844) 666-2066
Mailing address
724 ELTON AVE, BRONX, NY 10455-1244
(917) 368-8886
(844) 666-2066
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
033887
NY
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2156010
PK
—
Enumeration date
12/14/2015
Last updated
10/25/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us