Drug Shoppe LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

026336 Issued in NY

Legal business name

DRUG SHOPPE LLC

Practice address

2074 8TH Ave
New York, NY 10026-3375

Phone

(212) 222-3652

Fax

(212) 222-3659

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Aniedi N EtukNPI 1841522521

Title

President

Phone

(212) 222-3652

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Drug Shoppe Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY4 enrollments

Enrollment records 4

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Drug Shoppe LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Drug Shoppe LLC

  • Long Term Care Pharmacy
  • New York, NY
  • NPI 1043965031
  NPD tax ID

Practitioners 3

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

• Aniedi Nse Etuk, RPH

  • Pharmacist
  • New York, NY
  • NPI 1841522521
  NPD Authorized official
• Susanna Carou

  • Pharmacist
  • New York, NY
  • NPI 1447594338
  NPD (past)
• Abimbola Farodoye

  • Pharmacist
  • New York, NY
  • NPI 1760720361
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1972652113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 8TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100263375",
            "telephone_number": "212-222-3652",
            "fax_number": "212-222-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 8TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100263375",
            "telephone_number": "212-222-3652",
            "fax_number": "212-222-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG SHOPPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "ETUK",
        "authorized_official_first_name": "ANIEDI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-222-3652",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02478628",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drug Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John R Drudy, D.C.
• Drug Mart II LLC
• Drug Mart II RX LLC
• Drug Mart II RX LLC
• Drug Shoppe LLC
• Drug Stop Corp
• Drug Stop Pharmacy Corp
• Drugbox Pharmacy Inc
• Drugviu Inc
• Julia Lucy Druker

• Community/Retail Pharmacy in New York, NY
• Providers in New York, 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 Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.