Provider Demographics
NPI:1689657835
Name:NY DRUGS INC
Entity Type:Organization
Organization Name:NY DRUGS INC
Other - Org Name:CASTLE HILL COMMUNITY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SP
Authorized Official - Prefix:
Authorized Official - First Name:HEMANT
Authorized Official - Middle Name:
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:718-319-8200
Mailing Address - Street 1:706 CASTLE HILL AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10473-1303
Mailing Address - Country:US
Mailing Address - Phone:718-319-8200
Mailing Address - Fax:718-319-8240
Practice Address - Street 1:706 CASTLE HILL AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473-1303
Practice Address - Country:US
Practice Address - Phone:718-319-8200
Practice Address - Fax:718-319-8240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-22
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
NY0246993336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2060761OtherPK
NY02058280Medicaid
2060761OtherPK