Chronicare LTC RX, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

034606 Issued in NY

Legal business name

CHRONICARE LTC RX, LLC

Doing business as

Mend Pharmacy

Practice address

58-22/24 99TH St
Corona, NY 11368

Phone

(718) 590-5999

Fax

(718) 590-5966

NPI assigned

Aug 3, 2016

Last updated

Aug 1, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Oleg Aronov

Title

Managing Member

Phone

(718) 275-8900

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mend Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Chronicare LTC RX LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chronicare LTC RX, LLC

  dba Mend Pharmacy

  • Community/Retail Pharmacy
  • Corona, NY
  • NPI 1306677802
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1003369315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58-22/24 99TH ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "11368",
            "telephone_number": "718-590-5999",
            "fax_number": "718-590-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58-22/24 99TH ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "11368",
            "telephone_number": "718-590-5999",
            "fax_number": "718-590-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRONICARE LTC RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "ARONOV",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "718-275-8900"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "034606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04701162",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2163635",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mend Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mend Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Chiu, PTA
• Eunjeong Cho
• David Choi, L.AC
• Samuel S Choi, O.D.
• Suraiya Choudhury, LMHC
• Chronicare LTC RX, LLC (Mend Pharmacy)
• Hyunsook Chung
• Mirella Cinquemani
• Citi Chemist LLC
• City Medical of Upper East Side, PLLC (CItyMD Urgent Care)

• Long Term Care Pharmacy in Corona, NY
• Providers in Corona, NY by specialty
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.