=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306946876
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EVEREADY DRUGS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/25/2006
-----------------------------------------------------
Last Update Date | 03/14/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1229 THIRD AVENUE
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10021
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-249-1050
-----------------------------------------------------
Fax | 212-794-1174
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1229 THIRD AVENUE
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10021
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-249-1050
-----------------------------------------------------
Fax | 212-794-1174
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/SUPV. PHARMACIST
-----------------------------------------------------
Name | MR. SCOTT RICHARD SCHEINBLUM
-----------------------------------------------------
Credential | RPH
-----------------------------------------------------
Telephone | 212-249-1050
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number | 024266
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 024266
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------