Provider Demographics
NPI:1417241720
Name:CSS PHARMACY INC
Entity Type:Organization
Organization Name:CSS PHARMACY INC
Other - Org Name:CSS PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-220-5402
Mailing Address - Street 1:2043 GRAND CONCOURSE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-4317
Mailing Address - Country:US
Mailing Address - Phone:718-220-5402
Mailing Address - Fax:718-220-5403
Practice Address - Street 1:2043 GRAND CONCOURSE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-4317
Practice Address - Country:US
Practice Address - Phone:718-220-5402
Practice Address - Fax:718-220-5403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-03
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030837333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5803312OtherNCPDP PROVIDER IDENTIFICATION NUMBER
5803312OtherNCPDP PROVIDER IDENTIFICATION NUMBER