Active NPI
Spring RX Inc
- Community/Retail Pharmacy
- Queens Village, NY
National Provider Identifier
1023666930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SPRING RX INC
- Practice address
- 11150 Springfield Blvd
Queens Village, NY 11429-2542 - Phone
- (718) 479-2017
- Fax
- (718) 479-2018
- NPI assigned
- Sep 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hadrian Ryzhak
- Title
- President
- Phone
- (718) 479-2017
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
11150 Springfield Blvd
Queens Village, NY 11429-2542
Mailing address
11150 Springfield Blvd
Queens Village, NY 11429-2542
Phone (718) 479-2017
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | QUEENSVILLAGE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567555200000",
"number": "1023666930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11150 SPRINGFIELD BLVD",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114292542",
"telephone_number": "718-479-2017",
"fax_number": "718-479-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11150 SPRINGFIELD BLVD",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114292542",
"telephone_number": "718-479-2017",
"fax_number": "718-479-2018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRING RX INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-04",
"last_updated": "2019-09-04",
"status": "A",
"authorized_official_last_name": "RYZHAK",
"authorized_official_first_name": "HADRIAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-479-2017"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "QUEENSVILLAGE",
"affiliation": "N",
"address_1": "11150 Springfield Blvd",
"city": "Queens Village",
"state": "NY",
"country_code": "US",
"postal_code": "114292542",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Queens Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.