Provider Demographics
NPI:1396831194
Name:DAVID DRUGS INC
Entity Type:Organization
Organization Name:DAVID DRUGS INC
Other - Org Name:KAY CEE DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ACKARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-735-8700
Mailing Address - Street 1:6110 OLD SILVER HILL RD
Mailing Address - Street 2:
Mailing Address - City:DISTRICT HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20747-2111
Mailing Address - Country:US
Mailing Address - Phone:301-735-8700
Mailing Address - Fax:301-735-8700
Practice Address - Street 1:6110 OLD SILVER HILL RD
Practice Address - Street 2:
Practice Address - City:DISTRICT HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20747-2111
Practice Address - Country:US
Practice Address - Phone:301-735-8700
Practice Address - Fax:301-735-6003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2014-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2659332B00000X, 332BP3500X
MDC16012335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD989448900Medicaid
01092184OtherAMERIGROUP COMMUNITY CARE
DC029989900Medicaid
DC029989900Medicaid