=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528621414
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BR DRUGS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/17/2019
-----------------------------------------------------
Last Update Date | 10/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4141 KISSENA BLVD STE 106
-----------------------------------------------------
City | FLUSHING
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11355-3127
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-353-8858
-----------------------------------------------------
Fax | 718-353-8823
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4141 KISSENA BLVD STE 106
-----------------------------------------------------
City | FLUSHING
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11355-3127
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-353-8858
-----------------------------------------------------
Fax | 718-353-8823
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. DANIEL LEE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 718-353-8858
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------