Drezen'S Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

017343 Issued in NY

Legal business name

DREZEN'S PHARMACY INC.

Practice address

774 Allerton Ave
Bronx, NY 10467-8910

Phone

(718) 652-1363

Fax

(718) 652-0849

NPI assigned

Jul 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jong Dae Lee

Title

President

Phone

(718) 652-1363

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1023022381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 ALLERTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678910",
            "telephone_number": "718-652-1363",
            "fax_number": "718-652-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 ALLERTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678910",
            "telephone_number": "718-652-1363",
            "fax_number": "718-652-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREZEN'S PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JONG DAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-652-1363",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "017343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00679823",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS PHARMACY LICENSE NO.",
            "identifier": "017343",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Alexander Drelich, RPA-C
• Loris Omesh Drepaul, M.D.
• Susan Dresdner
• Olivia Chandler Drew
• Yelena Dreyzina, DPM
• Emily Rose Dries, DO
• Carlos Daniel Driggs
• Carlos Felix Driggs, MD
• Ileana Driggs, MHC
• Stephan Drighes, RN

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.