Provider Demographics
NPI:1851438352
Name:NOBLE DRUGS INC
Entity Type:Organization
Organization Name:NOBLE DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISING PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:VASANTH
Authorized Official - Middle Name:R
Authorized Official - Last Name:ALAPATY
Authorized Official - Suffix:
Authorized Official - Credentials:RP
Authorized Official - Phone:718-328-8495
Mailing Address - Street 1:1632 BRUCKNER BLVD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10473-4553
Mailing Address - Country:US
Mailing Address - Phone:718-328-8495
Mailing Address - Fax:718-542-4426
Practice Address - Street 1:1632 BRUCKNER BLVD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473-4553
Practice Address - Country:US
Practice Address - Phone:718-328-8495
Practice Address - Fax:718-542-4426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031451183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00832802Medicaid