Provider Demographics
NPI:1972880623
Name:CITY DRUGS NY CORP
Entity Type:Organization
Organization Name:CITY DRUGS NY CORP
Other - Org Name:CITY DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO & PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KARALIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-545-6040
Mailing Address - Street 1:1551 YORK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-6022
Mailing Address - Country:US
Mailing Address - Phone:212-988-4500
Mailing Address - Fax:212-988-4501
Practice Address - Street 1:1551 YORK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-6022
Practice Address - Country:US
Practice Address - Phone:212-988-4500
Practice Address - Fax:212-988-4501
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BIOMATRIX SPECIALTY PHARMACY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-11-09
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6626790001Medicare NSC