Provider Demographics
NPI:1508966250
Name:KEAP DRUGS INC.
Entity Type:Organization
Organization Name:KEAP DRUGS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:BARRY
Authorized Official - Last Name:LANDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-782-3287
Mailing Address - Street 1:361 BROADWAY
Mailing Address - Street 2:C/O KEAP MEDICAL CENTER
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-7469
Mailing Address - Country:US
Mailing Address - Phone:718-782-3287
Mailing Address - Fax:718-388-3400
Practice Address - Street 1:361 BROADWAY
Practice Address - Street 2:C/O KEAP MEDICAL CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-7469
Practice Address - Country:US
Practice Address - Phone:718-782-3287
Practice Address - Fax:718-388-3400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-23
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0129863336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3362326Medicaid