Provider Demographics
NPI:1508954462
Name:REGENCY DRUGS INC
Entity Type:Organization
Organization Name:REGENCY DRUGS INC
Other - Org Name:REGENCY DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAZEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KARNABY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-238-7488
Mailing Address - Street 1:7115 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-1347
Mailing Address - Country:US
Mailing Address - Phone:718-238-7488
Mailing Address - Fax:718-238-7486
Practice Address - Street 1:7115 3RD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-1347
Practice Address - Country:US
Practice Address - Phone:718-238-7488
Practice Address - Fax:718-238-7486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027335333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02681354Medicaid
5507020001Medicare ID - Type Unspecified