<Unavail>

LBN: 5Th Ave Drug, Inc
<Unavail> is an health care organization with primary practice located at 1805 5Th Ave Suite B, Bay Shore NY 11706-1761. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. 5Th Ave Drug, Inc can be contacted via phone (631) 231-4960, or through Diaz, Tomas via phone (631) 231-4960.

Contact Information

Primary practice address
1805 5Th Ave Suite B Bay Shore NY 11706-1761
Phone: (631) 231-4960
Fax: (631) 231-0368
Website:
Map and Directions
Authorized official contact:
Name: Diaz, Tomas RPH
Phone: (631) 231-4960

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X New York
Suppliers / Pharmacy 333600000X 020130 New York

Profile Details

NPI number 1659369783
LBN Legal business name 5Th Ave Drug, Inc
DBA Doing business as <Unavail>
Authorized official Diaz, Tomas RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 9th, 2026 - about 3 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659369783 NPPES
New York MEDICAID 01125584
New York Other 3394020

Popular Providers