OrganizationActive
158th Street Neighborhood Pharmacy, LLC
NPI 1215048152 · Durable Medical Equipment & Medical Supplies · Bronx, NY
Provider details
- NPI number
- 1215048152
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Authorized official
- Noam Avidar, Memeber
- License
- 026148 (NY)
Practice location
3103 3rd Ave
Bronx, NY 10451-4688
Phone: (718) 585-6188
Fax: (718) 585-6653
Mailing address
3103 3rd Ave
Bronx, NY 10451-4688
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.