# 5TH AVE DRUG, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** SALUMED 5TH AVENUE PHARMACY, SALU-MED
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659369783
- **Authorized official:** MR. TOMAS DIAZ RPH (PRESIDENT)
- **Authorized official phone:** (631) 231-4960

## Contact information

- **Practice address:** 1805 5TH AVE, SUITE B, BAY SHORE, NY 11706-1761
- **Practice address phone:** (631) 231-4960
- **Practice address fax:** (631) 231-0368
- **Mailing address:** 1805 B FIFTH AVE., BAY SHORE, NY 11706
- **Mailing address phone:** (631) 231-4960
- **Mailing address fax:** (631) 231-0368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NY | — |
| 333600000X | Pharmacy | 020130 | NY | Yes |

## Other

- **Enumeration date:** 10/12/2005
- **Last updated:** 07/09/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01125584 | — | NY |
| 01 | — | 3394020 | NAPB | — |