Provider Demographics
NPI:1598806580
Name:LEVIN'S DRUGS INC.
Entity Type:Organization
Organization Name:LEVIN'S DRUGS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAFRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-692-5292
Mailing Address - Street 1:9890A QUEENS BLVD
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-4354
Mailing Address - Country:US
Mailing Address - Phone:718-459-1500
Mailing Address - Fax:718-459-5956
Practice Address - Street 1:9890A QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-4354
Practice Address - Country:US
Practice Address - Phone:718-459-1500
Practice Address - Fax:718-459-5956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-10
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY025200OtherPHARMACY LICENSE
NY02213858Medicaid
NY4411530001Medicare ID - Type Unspecified