Provider profile · NPI 1194861104

139 Pharmacy, Inc.

Pharmacy, Community/Retail Pharmacy · New York, NY · NPI 1194861104 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Pharmacy, Community/Retail Pharmacy

Enumerated

Jan 29, 2007

License(s)

015978 (NY)

Addresses on file

PurposeAddressCity/StatePhone
LOCATION3411 BROADWAY New York, NY 10031-7407212-283-5764
MAILING3411 BROADWAY New York, NY 10031-7407212-283-5764

View on NPPES registry ↗

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