Provider Demographics
NPI:1386793859
Name:ESQUIRE DRUG
Entity type:Organization
Organization Name:ESQUIRE DRUG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ARMAN
Authorized Official - Last Name:MESSIA
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:518-235-2022
Mailing Address - Street 1:PO BOX 1
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:NY
Mailing Address - Zip Code:12121-0001
Mailing Address - Country:US
Mailing Address - Phone:518-235-2022
Mailing Address - Fax:518-235-2082
Practice Address - Street 1:RT. 40 AND CHURCH ST.
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:NY
Practice Address - Zip Code:12121
Practice Address - Country:US
Practice Address - Phone:518-235-2022
Practice Address - Fax:518-235-2082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018073-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00549404Medicaid