Provider Demographics
NPI:1538947429
Name:NEW BRIDGE PHARMACY CORP
Entity type:Organization
Organization Name:NEW BRIDGE PHARMACY CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/SUPERVISING PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ARKADIY
Authorized Official - Middle Name:
Authorized Official - Last Name:GADAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-303-9944
Mailing Address - Street 1:420 NEWBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-3964
Mailing Address - Country:US
Mailing Address - Phone:516-303-9944
Mailing Address - Fax:516-303-9951
Practice Address - Street 1:420 NEWBRIDGE RD
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-3964
Practice Address - Country:US
Practice Address - Phone:516-303-9944
Practice Address - Fax:516-303-9951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-20
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy