South Side Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

028892 Issued in NY

Legal business name

SOUTH SIDE DRUGS INC

Doing business as

SOUTH SIDE DRUGS INC

Practice address

432 Bedford Ave
Brooklyn, NY 11249-6588

Phone

(718) 782-7200

Fax

(718) 782-7211

NPI assigned

Jun 3, 2008

Organization subpart

No

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

Authorized official

Name

Simon Horn

Title

SP

Phone

(718) 782-7200

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SOUTH SIDE DRUGS INC Doing business as

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1437318797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112496588",
            "telephone_number": "718-782-7200",
            "fax_number": "718-782-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112496588",
            "telephone_number": "718-782-7200",
            "fax_number": "718-782-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SIDE DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "SP",
        "authorized_official_telephone_number": "718-782-7200"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2070591",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2987108",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH SIDE DRUGS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• South Shore Manor Home for Adults
• South Shore Osteopathic Medicine P.C.
• South Side Pharmacy & Health Shop LLC
• South Side Pharmacy & Health Shop LLC
• Suzan South-Hylton, LPN
• Austin South
• Briseida South

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, 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 Oct 30, 2014; 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.