MEDICARE: ALL AMERICAN DRUGGIST 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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	018762	NY

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	2063587	OTHER		PK

General Provider Information

NPI Number	:	1891784195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL AMERICAN DRUGGIST INC

Provider Business Mailing Address
First Line	:	1101 BRIGHTON BEACH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-5558
Country	:	US
Telephone Number	:	718-891-2801
Fax Number	:	718-743-5804

Provider Business Practice Location Address
First Line	:	1101 BRIGHTON BEACH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-5558
Country	:	US
Telephone Number	:	718-891-2801
Fax Number	:	718-743-5804

Authorized Official
Title or Position	:	SUP PHARM
Name	:	MARINA VAYSBAUM
Credential	:
Telephone Number	:	718-891-2801

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	09/19/2025

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Directions to “ALL AMERICAN DRUGGIST INC ” Practice Location

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