Mig-RX Corp

Primary specialty

PharmacyTaxonomy code 333600000X

License

025442 Issued in NY

Legal business name

MIG-RX CORP

Doing business as

Tricare Pharmacy

Practice address

1811 Kings Hwy
Brooklyn, NY 11229-1307

Phone

(718) 382-9999

Fax

(718) 382-9988

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Igor Lipets, RPH

Title

Supervising Pharmacist

Phone

(718) 382-9999

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• TRICARE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Mig-RX Corp2 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.

• Mig-RX Corp

  dba Tricare Pharmacy (LTC)

  • Long Term Care Pharmacy
  • Brooklyn, NY
  • NPI 1578405817
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gennady Kupershmidt, PHARM D.

  • Pharmacist
  • Brooklyn, NY
  • NPI 1548440266
  NPD

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1073672606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291307",
            "telephone_number": "718-382-9999",
            "fax_number": "718-382-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291307",
            "telephone_number": "718-382-9999",
            "fax_number": "718-382-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIG-RX CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LIPETS",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-382-9999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "025442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3327815",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02335211",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRICARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Mariuxi Mier, LMSW
• Margaret Eugenia Mierzejewska
• April Cherea Mieses
• Miftari Nutrition LLC
• Alton Miftari, MS, RD, CDN
• Mig-RX Corp (Tricare Pharmacy (LTC))
• Alina Migalina, CF-SLP
• Hamzeh Migdadi, MD
• Arkady Migdalovich, P.T.
• Tatyana Migdalovich, LPT

• Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.