Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bravo Super Pharmacy Inc

Organization Pharmacy · NPI 1134550734

Bravo Super Pharmacy Inc is a Pharmacy in Central Islip, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

174 Wheeler Rd
Central Islip, NY 11722-2027
Phone: (631) 761-6600
Fax: (631) 761-6619
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 032228 (NY)
Pharmacy Taxonomy 333600000X

Record details

NPI number1134550734
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Asif Ali — President · (631) 413-6603
Other names Bravo Super Pharmacy Inc
NPI enumeratedDecember 6, 2013
Last updated in NPPESJanuary 14, 2014
Mailing address174 Wheeler Rd, Central Islip, NY 11722-2027