=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053177048
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BX DRUGS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/26/2024
-----------------------------------------------------
Last Update Date | 02/26/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 16403 NORTHERN BLVD FL 1
-----------------------------------------------------
City | FLUSHING
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11358-2646
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-718-8883
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7143 SUTTON PL APT 2
-----------------------------------------------------
City | FLUSHING
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11365-4584
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-718-8883
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | RONGZHI BAI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 347-718-8883
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------