Organization Active NPI

Rainbow Care Pharma Inc

Doing business as Rainbow Care Pharmacy

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1073032645
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RAINBOW CARE PHARMA INC
Doing business as
Rainbow Care Pharmacy
Practice address
13542 Roosevelt Ave
Flushing, NY 11354-5306
Phone
(718) 886-5899
Fax
(718) 886-8399
NPI assigned
Sep 14, 2017
Last updated
Aug 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Damini N Patel
Title
President
Phone
(718) 886-5899

Specialties & licenses 1

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

Addresses

Primary practice location

13542 Roosevelt Ave
Flushing, NY 11354-5306

Mailing address

13542 Roosevelt Ave
Flushing, NY 11354-5306
Phone (718) 886-5899

Other identifiers 1

IdentifierTypeStateIssuer
05087247MedicaidNY

Other names 1

  • Rainbow Care Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20180212001059 NY DME Supplier - Pharmacy 6800156829 Practice locations: Flushing, NY
O20210416001261 NY Part B Supplier - Mass Immunization (Roster Biller Only) 6800156829 Practice locations: Flushing, NY
O20220505000322 NY Part B Supplier - Pharmacy 6800156829 Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

13542 Roosevelt Ave
Flushing, NY 11354
Phone (718) 886-5899

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1073032645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13542 ROOSEVELT AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545306",
            "telephone_number": "718-886-5899",
            "fax_number": "718-886-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13542 ROOSEVELT AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545306",
            "telephone_number": "718-886-5899",
            "fax_number": "718-886-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW CARE PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DAMINI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-886-5899"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05087247",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rainbow Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.