666 Drug Inc
Organization Active NPI Pharmacy · Bronx, NY
NPI 1821063504 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1821063504
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 017367 (NY)
- Legal business name
- 666 DRUG INC
- Practice address
- 666 Courtlandt Ave
Bronx, NY 10451-5018 - Phone
- (718) 292-1856
- Fax
- (718) 665-2123
- NPI assigned
- Feb 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. James Anthony Detura
- Title
- R.PH.
- Phone
- (718) 292-1856
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 017367 | NY | Yes |
Addresses
Primary practice location
666 Courtlandt Ave
Bronx, NY 10451-5018
Mailing address
666 Courtlandt Ave
Bronx, NY 10451-5018
Phone (718) 292-1856
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01129033 | Medicaid | NY |
Other names
- Melrose Pharmacy
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.