BRAVO SUPER PHARMACY INC
NPI 1134550734
Pharmacy - Community/Retail Pharmacy in Central Islip, NY

Active since December 06, 2013
174 WHEELER RD, CENTRAL ISLIP, NY 11722(631) 761-6600(631) 761-6619 Get Directions Write a Review

NPPES record last updated: January 14, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bravo Super Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRAVO SUPER PHARMACY INC (NPI 1134550734) is a healthcare organization registered as a community/retail pharmacy in Central Islip, New York and active in the NPI registry since December 2013. The organization lists Asif Ali, President, as its authorized official.

NPPES Registry Identity

NPI1134550734
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBRAVO SUPER PHARMACY INC
Location Address174 WHEELER RDCentral Islip, NY 11722-2027
Mailing Address174 Wheeler RdCentral Islip, NY 11722-2027 · (631) 761-6600 · Fax (631) 761-6619
Fax(631) 761-6619
Organization SubpartNo
Authorized OfficialAsif AliPresident · (631) 413-6603
Enumeration DateDecember 6, 2013
Last NPPES UpdateJanuary 14, 2014
NPI 1134550734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in NY · 032228
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
174 WHEELER RD, Central Islip, NY 11722

Other Names 1

Doing Business AsBravo Super Pharmacy Inc

Other Identifiers 1

Other2143520Pk

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bravo Super Pharmacy Inc's NPI number?

The NPI number for Bravo Super Pharmacy Inc is 1134550734. It was assigned to this organization in the NPPES registry on December 6, 2013.

Where is Bravo Super Pharmacy Inc located?

Bravo Super Pharmacy Inc is located at 174 Wheeler Rd, Central Islip, NY 11722. The listed phone number is (631) 761-6600.

What is Bravo Super Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Bravo Super Pharmacy Inc was last updated on January 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.