Organization Active NPI

Spring RX Inc

  • Community/Retail Pharmacy
  • Queens Village, NY
National Provider Identifier
1023666930
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Sep 4, 2019

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL QUEENSVILLAGE

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.