Provider Demographics
NPI:1487204798
Name:FIVE STAR DRUGS INC
Entity Type:Organization
Organization Name:FIVE STAR DRUGS INC
Other - Org Name:CARIBE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERVISING PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:WEIHAO
Authorized Official - Middle Name:
Authorized Official - Last Name:XIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-304-0649
Mailing Address - Street 1:146 NAGLE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-1437
Mailing Address - Country:US
Mailing Address - Phone:212-304-0649
Mailing Address - Fax:212-340-2959
Practice Address - Street 1:146 NAGLE AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-1437
Practice Address - Country:US
Practice Address - Phone:212-304-0649
Practice Address - Fax:212-340-2959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-18
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy