Provider Demographics
NPI:1023595949
Name:NEVINS DRUGS INC
Entity type:Organization
Organization Name:NEVINS DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER/VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMJAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-422-0100
Mailing Address - Street 1:739 FULTON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-2969
Mailing Address - Country:US
Mailing Address - Phone:718-422-0118
Mailing Address - Fax:
Practice Address - Street 1:739 FULTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-2969
Practice Address - Country:US
Practice Address - Phone:718-422-0118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEVINS DRUGS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-24
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03036055Medicaid