MEDICARE: B & B PHARMACY INC

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	024471	NY

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
2	2059063	OTHER		PK

General Provider Information

NPI Number	:	1659483667
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B & B PHARMACY INC

Provider Business Mailing Address
First Line	:	7908 37TH AVE
Second Line	:	80-09/11 37TH AVE
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-6748
Country	:	US
Telephone Number	:	718-533-6623
Fax Number	:	718-533-6623

Provider Business Practice Location Address
First Line	:	7908 37TH AVE
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-6748
Country	:	US
Telephone Number	:	718-533-6623
Fax Number	:	718-533-6623

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ELENA BOVER
Credential	:	BS. PHARMACY
Telephone Number	:	718-533-6623

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	06/06/2025

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