MEDICARE: RBFD DRUG INC

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	3336C0003X	Community/Retail Pharmacy	022828	NY
2	333600000X	Pharmacy
3	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2057342	OTHER		PK

General Provider Information

NPI Number	:	1174504765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RBFD DRUG INC

Provider Business Mailing Address
First Line	:	4279 WEBSTER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10470-2483
Country	:	US
Telephone Number	:	718-652-2090
Fax Number	:	718-231-9580

Provider Business Practice Location Address
First Line	:	4279 WEBSTER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10470-2483
Country	:	US
Telephone Number	:	718-652-2090
Fax Number	:	718-231-9580

Authorized Official
Title or Position	:	SP
Name	:	DAVA EISNER
Credential	:
Telephone Number	:	718-652-2090

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	12/09/2025

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Directions to “RBFD DRUG INC ” Practice Location

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