Provider Demographics
NPI:1679594634
Name:C AND B DRUGS INC
Entity Type:Organization
Organization Name:C AND B DRUGS INC
Other - Org Name:GST PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BHANU
Authorized Official - Middle Name:
Authorized Official - Last Name:GADDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-963-1018
Mailing Address - Street 1:669 GRAND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-4803
Mailing Address - Country:US
Mailing Address - Phone:718-963-1018
Mailing Address - Fax:718-963-2635
Practice Address - Street 1:669 GRAND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-4803
Practice Address - Country:US
Practice Address - Phone:718-963-1018
Practice Address - Fax:718-963-2635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NY0276573336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3347449OtherNCPDP PROVIDER IDENTIFICATION NUMBER
NY02682891Medicaid
3347449OtherNCPDP PROVIDER IDENTIFICATION NUMBER