MEDICARE: BROTHERS DRUG CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)	01091221	NY
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	01091221	NY
3	333600000X	Pharmacy	01091221	NY
4	335E00000X	Prosthetic/Orthotic Supplier	01091221	NY
5	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326022922
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROTHERS DRUG CORP

Provider Business Mailing Address
First Line	:	16933 137TH AVE
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11434-4517
Country	:	US
Telephone Number	:	718-723-2100
Fax Number	:	718-978-6427

Provider Business Practice Location Address
First Line	:	16933 137TH AVE
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11434-4517
Country	:	US
Telephone Number	:	718-723-2100
Fax Number	:	718-978-6427

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DIANA GROYSMAN
Credential	:
Telephone Number	:	718-723-2100

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	07/15/2025

Similar Medicare Providers

1992780134 — MR. SAMUEL SCHWARTZ RPH
Practice Location Address:

16933 137TH AVE
JAMAICA, NY
11434-4517

Practice Phone: 718-723-2100
Practice Fax:

1134104136 — PHILIP S KWAIT MD
Practice Location Address:

169-59 137TH AVE
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1558309146 — MARIE L FRANCILLON MD
Practice Location Address:

16959 137TH AVE
JAMAICA, NY
11434-4517

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Practice Fax: 718-559-5285

1730128570 — MARIA L RODRIGUES MD
Practice Location Address:

16959 137TH AVE
JAMAICA, NY
11434-4517

Practice Phone: 718-525-5600
Practice Fax: 718-559-5285

1982647129 — DR. CHARLENE A. ANDREWS MD
Practice Location Address:

16995 137TH AVE , #19
JAMAICA, NY
11434-4517

Practice Phone: 718-528-1503
Practice Fax: 718-528-1501

1376571794 — PATRICK K WU MD
Practice Location Address:

16959 137TH AVE
JAMAICA, NY
11434-4517

Practice Phone: 718-525-5600
Practice Fax: 718-527-0922

Directions to “BROTHERS DRUG CORP ” Practice Location

Language	Start Address	Practice Location

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