Provider Demographics
NPI:1811018195
Name:S&G DRUGS LLC
Entity Type:Organization
Organization Name:S&G DRUGS LLC
Other - Org Name:DAVIE DISCOUNT DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MEMBER/PIC/AO
Authorized Official - Prefix:
Authorized Official - First Name:JAYDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:732-447-8153
Mailing Address - Street 1:PO BOX 760
Mailing Address - Street 2:
Mailing Address - City:COOLEEMEE
Mailing Address - State:NC
Mailing Address - Zip Code:27014-0760
Mailing Address - Country:US
Mailing Address - Phone:336-284-2537
Mailing Address - Fax:336-284-2538
Practice Address - Street 1:141 MARGINAL ST
Practice Address - Street 2:
Practice Address - City:COOLEEMEE
Practice Address - State:NC
Practice Address - Zip Code:27014-0168
Practice Address - Country:US
Practice Address - Phone:336-284-2537
Practice Address - Fax:336-284-2538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NC119973336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2145869OtherPK
NC1811018195Medicaid
7329250001Medicare NSC