Organization
EAST MAIN STREET CHEMISTS INC
Active
Other names
NEIGHBORX PHARMACY AT ORMC
Organization subpart
No
Provider details
NPI number
Authorized official
JAHAN KEIVANJAH (OWNER)
(845) 333-7250
Entity
Organization
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7250
(845) 333-7249
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7250
(845) 333-7249
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
035020
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035020
BOARD OF PHARMACY
NY
01
—
2162457
PK
—
01
—
5818274
NCPDP
NY
01
—
A100162959
MEDICARE - NSC - MASS IMMUNIZATION
NY
Enumeration date
08/05/2016
Last updated
03/21/2025
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