Provider Demographics
NPI:1598832891
Name:BSF PRESCRIPTION PHARMACY INC
Entity Type:Organization
Organization Name:BSF PRESCRIPTION PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:GILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-549-5766
Mailing Address - Street 1:655 E 233RD ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-2865
Mailing Address - Country:US
Mailing Address - Phone:718-547-7750
Mailing Address - Fax:718-653-1283
Practice Address - Street 1:655 E 233RD ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-2865
Practice Address - Country:US
Practice Address - Phone:718-547-7750
Practice Address - Fax:718-653-1283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017116183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3371882OtherNCPDP NUMBER
NY00595015Medicaid
NY5055970001Medicare ID - Type Unspecified