Organization Active NPI

Pharma RX Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1063165579
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PHARMA RX INC
Doing business as
Pharma RX Inc
Practice address
6806 4TH Ave
Brooklyn, NY 11220-5372
Phone
(718) 748-1400
Fax
(718) 748-1405
NPI assigned
Feb 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Yan Bibichayev
Title
Authorized Official
Phone
(718) 748-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

6806 4TH Ave
Brooklyn, NY 11220-5372

Mailing address

6806 4TH Ave
Brooklyn, NY 11220-5372

Other identifiers 1

IdentifierTypeStateIssuer
A100300920MedicaidNY

Other names 1

  • PHARMA RX INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221018001715 NY Part B Supplier - Pharmacy 7810363710 Practice locations: Brooklyn, NY
O20230111000401 NY DME Supplier - Pharmacy 7810363710 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pharma RX Inc.6806 4TH Ave, Brooklyn, NY 11220-5372(718) 748-1400 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Jun 24, 2022

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1063165579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6806 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6806 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205372",
            "telephone_number": "718-748-1400",
            "fax_number": "718-748-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMA RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-29",
        "status": "A",
        "authorized_official_last_name": "BIBICHAYEV",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "718-748-1400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A100300920",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMA RX INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.