City RX Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031890 Issued in NY

Legal business name

CITY RX INC.

Practice address

9525 Queens Blvd
Rego Park, NY 11374-4510

Phone

(718) 459-4880

Fax

(718) 459-4889

NPI assigned

Apr 2, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Shibu P Mathew

Title

President

Phone

(718) 459-4880

Specialties & licenses 1

Addresses

Other names 1

• City Rx Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364860800000",
    "number": "1104169671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744510",
            "telephone_number": "718-459-4880",
            "fax_number": "718-459-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744510",
            "telephone_number": "718-459-4880",
            "fax_number": "718-459-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY RX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-04-02",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "SHIBU",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-459-4880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin James Cipriano, MD
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• Citimedical I PLLC
• Citimedical Services PC
• City Chiropractic, P.C.
• Wei-Ping Wang Civitello
• Latosha Clark, LMSW
• Morgan Clark, LSW
• Claire Clarke-Browne
• Joanne Ineson Clarvit, LCSW

• Community/Retail Pharmacy in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.