Provider Demographics
NPI:1255923744
Name:HEALTHFIRST LLC
Entity type:Organization
Organization Name:HEALTHFIRST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISING PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SHIVAKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PINNOJU
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:301-693-2902
Mailing Address - Street 1:4332 KISSENA BLVD APT 5E
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2946
Mailing Address - Country:US
Mailing Address - Phone:301-693-2902
Mailing Address - Fax:
Practice Address - Street 1:186 EASTERN BLVD N
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-5843
Practice Address - Country:US
Practice Address - Phone:240-513-6059
Practice Address - Fax:240-513-6319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-07
Last Update Date:2021-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy