Provider Demographics
NPI:1275618563
Name:ECHO DRUGS INC
Entity Type:Organization
Organization Name:ECHO DRUGS INC
Other - Org Name:ECHO CARE SPECIALTY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVKIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:718-782-3030
Mailing Address - Street 1:260 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-6229
Mailing Address - Country:US
Mailing Address - Phone:718-782-3030
Mailing Address - Fax:718-782-2626
Practice Address - Street 1:260 BROADWAY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-6229
Practice Address - Country:US
Practice Address - Phone:718-782-3030
Practice Address - Fax:718-782-2626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0273173336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1275618563Medicaid
NY1275618563Medicaid