Provider Demographics
NPI:1659026425
Name:EMPIRE STATE DRUGS INC
Entity Type:Organization
Organization Name:EMPIRE STATE DRUGS INC
Other - Org Name:NOBEL DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AJAI
Authorized Official - Middle Name:
Authorized Official - Last Name:PRAKASH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:917-251-1580
Mailing Address - Street 1:14313 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-3230
Mailing Address - Country:US
Mailing Address - Phone:917-251-1580
Mailing Address - Fax:718-206-2337
Practice Address - Street 1:14313 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-3230
Practice Address - Country:US
Practice Address - Phone:917-251-1580
Practice Address - Fax:718-206-2337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-19
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy