Healthcare Provider Details

I. General information

NPI: 1730092412
Provider Name (Legal Business Name): BEACH DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11514 BEACH CHANNEL DR
ROCKAWAY PARK NY
11694-2206
US

IV. Provider business mailing address

11514 BEACH CHANNEL DR
ROCKAWAY PARK NY
11694-2206
US

V. Phone/Fax

Practice location:
  • Phone: 718-689-0948
  • Fax: 718-691-4610
Mailing address:
  • Phone: 718-689-0948
  • Fax: 718-691-4610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: IGOR ROZENBERG
Title or Position: PRESIDENT
Credential:
Phone: 347-410-4899