Provider Demographics
NPI:1851184758
Name:NORTHSTAR DRUG INC
Entity type:Organization
Organization Name:NORTHSTAR DRUG INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SU
Authorized Official - Middle Name:
Authorized Official - Last Name:XU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-553-2696
Mailing Address - Street 1:4265 MAIN ST APT 1
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-4759
Mailing Address - Country:US
Mailing Address - Phone:718-799-0595
Mailing Address - Fax:718-799-0596
Practice Address - Street 1:4265 MAIN ST APT 1
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4759
Practice Address - Country:US
Practice Address - Phone:718-799-0595
Practice Address - Fax:718-799-0596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy