Provider Demographics
NPI:1376834184
Name:HEALTH CARE II DRUGS INC
Entity Type:Organization
Organization Name:HEALTH CARE II DRUGS INC
Other - Org Name:HEALTHCARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEETHA
Authorized Official - Middle Name:
Authorized Official - Last Name:APPANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-996-9000
Mailing Address - Street 1:2402 MERMAID AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-2210
Mailing Address - Country:US
Mailing Address - Phone:718-996-9900
Mailing Address - Fax:718-996-9922
Practice Address - Street 1:2402 MERMAID AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-2210
Practice Address - Country:US
Practice Address - Phone:718-996-9900
Practice Address - Fax:718-996-9922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-27
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NY0308353336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2133104OtherPK
5803893OtherNCPDP PROVIDER IDENTIFICATION NUMBER
NY03332625Medicaid