Deer Park Super Drugs Inc
Organization Active NPI Community/Retail Pharmacy · North Babylon, NY
NPI 1386907137 · NPPES record last updated Jul 5, 2012
Key facts
- NPI
- 1386907137
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 030981 (NY)
- Legal business name
- DEER PARK SUPER DRUGS INC
- Practice address
- 1155 Deer Park Ave
North Babylon, NY 11703-3105 - Phone
- (631) 940-9472
- Fax
- (631) 940-9477
- NPI assigned
- Jun 18, 2012
- Organization subpart
- No
Authorized official
- Name
- Henry Kahn
- Title
- President/Pharmacist
- Phone
- (631) 940-9472
National Provider Directory
Locations
1155 Deer Park Ave
North Babylon, NY 11703
Phone (631) 667-5030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 030981 | NY | Yes |
Addresses
Primary practice location
1155 Deer Park Ave
North Babylon, NY 11703-3105
Mailing address
1155 Deer Park Ave
North Babylon, NY 11703-3105
Phone (631) 940-9472
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5805429 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- Deer Park Pharmacy
Other providers in North Babylon, NY
- Maria Esther Davila
- Susanna De Jesus
- Dee'S 4 Awesome Kids Inc
- Deer Park Podiatry
- Deer Park South Shore Podiatry PC
- Frank Anthony Dellisanti
- Dental Smiles for Kids, LLC
- Valerie Derose
- Wislande Derose
- Julie Devuono
All providers in North Babylon, NY · Community/Retail Pharmacy in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.