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

Provista Services Inc

Organization Pharmacy · NPI 1164805164

Provista Services Inc is a Pharmacy in Bronx, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
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

2754 3rd Ave
Bronx, NY 10455-4036
Phone: (718) 401-3900
Fax: (718) 401-3909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 033795 (NY)
Pharmacy Taxonomy 333600000X

Record details

NPI number1164805164
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Salman Riaz — Pres · (718) 401-3900
Other names Family Pharmacy
NPI enumeratedJuly 8, 2015
Last updated in NPPESFebruary 20, 2017
Mailing address2754 3rd Ave, Bronx, NY 10455-4036

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