Nicks Drugs

LBN: Crystal Drugs Inc
Nicks Drugs is an health care organization with primary practice located at 179 Market St , Newark NJ 07102. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Crystal Drugs Inc can be contacted via phone (973) 596-1800, or through Yasa, Narendar Reddy via phone (973) 596-1800.

Contact Information

Primary practice address
179 Market St Newark NJ 07102
Phone: (973) 596-1800
Fax: (973) 596-1849
Website:
Map and Directions
Authorized official contact:
Name: Yasa, Narendar Reddy
Phone: (973) 596-1800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00659600 New Jersey

Profile Details

NPI number 1124049184
LBN Legal business name Crystal Drugs Inc
DBA Doing business as Nicks Drugs
Authorized official Yasa, Narendar Reddy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Jun 6th, 2018 - about 7 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124049184 NPPES
Other 3135414 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 0103837 NCPDP PROVIDER IDENTIFICATION NUMBER

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