Provider Demographics
NPI:1821195769
Name:DRUG USA PHARMACY
Entity Type:Organization
Organization Name:DRUG USA PHARMACY
Other - Org Name:B AND H PHARMACY CORPORATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RPH
Authorized Official - Prefix:
Authorized Official - First Name:SHALOM
Authorized Official - Middle Name:
Authorized Official - Last Name:KIKOV
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:516-482-1055
Mailing Address - Street 1:21 S MIDDLE NECK RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-3455
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21 S MIDDLE NECK RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-3455
Practice Address - Country:US
Practice Address - Phone:516-482-1055
Practice Address - Fax:516-482-3783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027288333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered333600000XSuppliersPharmacy
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02664708Medicaid
3344986OtherOTHER ID NUMBER-COMMERCIAL NUMBER
02664708Medicare ID - Type Unspecified