Provider Demographics
NPI:1700806577
Name:CENTURY SPECIALTY SCRIPT. LLC
Entity Type:Organization
Organization Name:CENTURY SPECIALTY SCRIPT. LLC
Other - Org Name:CENTURY DRUGS & SURGICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, TREASURER, SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:CAPPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-494-3121
Mailing Address - Street 1:6 FISHER AVE
Mailing Address - Street 2:
Mailing Address - City:TUCKAHOE
Mailing Address - State:NY
Mailing Address - Zip Code:10707-2604
Mailing Address - Country:US
Mailing Address - Phone:914-395-1234
Mailing Address - Fax:914-395-0974
Practice Address - Street 1:6 FISHER AVE
Practice Address - Street 2:
Practice Address - City:TUCKAHOE
Practice Address - State:NY
Practice Address - Zip Code:10707-2604
Practice Address - Country:US
Practice Address - Phone:914-395-1234
Practice Address - Fax:914-395-0974
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOMETECH ADVANCED THERAPIES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-21
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0221183336C0003X
3336H0001X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01668175Medicaid
NY01668175Medicaid