Asz Drug Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

024147 Issued in NY

Legal business name

ASZ DRUG CORP

Practice address

121 Avenue U
Brooklyn, NY 11223-3605

Phone

(718) 996-9299

Fax

(718) 996-9335

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Mohammad Edreis, SP PHARM

Title

Mang

Phone

(718) 996-9299

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ASZ DRUG CORP Doing business as

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1992868517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233605",
            "telephone_number": "718-996-9299",
            "fax_number": "718-996-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASZ DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "EDREIS",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "MANG",
        "authorized_official_telephone_number": "718-996-9299",
        "authorized_official_credential": "SP PHARM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "024147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01911182",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3302546",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASZ DRUG CORP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Brooklyn, NY
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.