Organization Active NPI

Tulip Super Drugs Inc.

  • Community/Retail Pharmacy
  • Floral Park, NY
National Provider Identifier
1730405580
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TULIP SUPER DRUGS INC.
Doing business as
LEE'S DRUG STORE
Practice address
160 Tulip Ave
Floral Park, NY 11001-2706
Phone
(516) 354-2000
Fax
(516) 775-2046
NPI assigned
Apr 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Bhanu Gadde, PHARMDNPI 1457582876
Title
President
Phone
(972) 898-2279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

160 Tulip Ave
Floral Park, NY 11001-2706

Mailing address

160 Tulip Ave
Floral Park, NY 11001-2706
Phone (516) 354-2000

Other identifiers 1

IdentifierTypeStateIssuer
03214651MedicaidNY

Other names 1

  • LEE'S DRUG STORE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101104000461 NY DME Supplier - Pharmacy 8921292871 Practice locations: Floral Park, NY

National Provider Directory

National Provider Directory

Locations

160 Tulip Ave
Floral Park, NY 11001
Phone (516) 354-2000

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1730405580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 TULIP AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012706",
            "telephone_number": "516-354-2000",
            "fax_number": "516-775-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 TULIP AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012706",
            "telephone_number": "516-354-2000",
            "fax_number": "516-775-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULIP SUPER DRUGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "GADDE",
        "authorized_official_first_name": "BHANU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-898-2279",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03214651",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEE'S DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LEE'S DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.