MEDICARE: OLMSTEAD DRUGS LLC

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	183500000X	Pharmacist	026781	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3339214	OTHER	NY	NABP NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033107651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OLMSTEAD DRUGS LLC

Provider Business Mailing Address
First Line	:	1163 OLMSTEAD AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-5292
Country	:	US
Telephone Number	:
Fax Number	:	718-678-1804

Provider Business Practice Location Address
First Line	:	1163 OLMSTEAD AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-5292
Country	:	US
Telephone Number	:	718-678-1800
Fax Number	:	718-678-1804

Authorized Official
Title or Position	:	REGISTERED PHARMACIST
Name	:	MR. ANAND S PATEL
Credential	:	RPH
Telephone Number	:	718-678-1800

Provider Enumeration Date	:	10/07/2005
Last Update Date	:	08/22/2020

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Directions to “OLMSTEAD DRUGS LLC ” Practice Location

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