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CRESETTI DRUG CORP NPI 1376546820


NPI Information

NPI: 1376546820
Provider Name: CRESETTI DRUG CORP
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
454 5TH AVE
BROOKLYN, NY
ZIP 11215
Phone: (718) 768-0600
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CRESETTI DRUG CORP is a pharmacy in Brooklyn, NY. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. CRESETTI DRUG CORP NPI is 1376546820. The provider is registered as an organization entity type.

The provider's business location address is:

454 5TH AVE
BROOKLYN, NY
ZIP 11215-003
Phone: (718) 768-0600
Fax: (718) 832-2912

The provider's authorized official is Thomas Christopher Sutherland .
The authorized official title is Pharmacist and has the following contact phone number (718) 768-0600.

The enumeration date for this NPI number is 5/28/2005 and was last updated on 2/27/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies019466NEW YORKNo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
3332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNo
4333600000XPharmacy019466NEW YORKYes
53336L0003XPharmacyLong Term Care Pharmacy019466NEW YORKNo
6335E00000XProsthetic/Orthotic SupplierNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101022637MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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