E T Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

017642 Issued in NY

Legal business name

E T DRUGS INC

Practice address

173 Broad St
Staten Island, NY 10304-2057

Phone

(718) 447-4127

Fax

(718) 273-1232

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Ethan Asedo, BSNPI 1700118486

Title

Pres

Phone

(718) 442-4127

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MILLER PHARMACY Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ethan Simon Asedo, RPH

  • Pharmacist
  • Staten Island, NY
  • NPI 1700118486
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1376655381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 BROAD ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042057",
            "telephone_number": "718-447-4127",
            "fax_number": "718-273-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 BROAD ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042057",
            "telephone_number": "718-447-4127",
            "fax_number": "718-273-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E T DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "ASEDO",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "718-442-4127",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "017642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2061728",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00745331",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILLER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Staten Island, NY
• Providers in Staten Island, 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 Jun 13, 2016; 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.