Organization Active NPI

R.a Elite Inc

Doing business as Elite Pharmacy

  • Pharmacy
  • Flushing, NY
National Provider Identifier
1154567741
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
029208 Issued in NY
Legal business name
R.A ELITE INC
Doing business as
Elite Pharmacy
Practice address
7537 Main St
Flushing, NY 11367-3136
Phone
(718) 263-8100
Fax
(718) 263-8111
NPI assigned
Jan 2, 2009
Last updated
Dec 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Mr. Ruben Fatakhov
Title
President
Phone
(718) 263-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 029208 NY Primary

Addresses

Primary practice location

7537 Main St
Flushing, NY 11367-3136

Mailing address

7537 Main St
Flushing, NY 11367-3136
Phone (718) 263-8100

Other names 1

  • ELITE PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1154567741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7537 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673136",
            "telephone_number": "718-263-8100",
            "fax_number": "718-263-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7537 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673136",
            "telephone_number": "718-263-8100",
            "fax_number": "718-263-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.A ELITE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "FATAKHOV",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-263-8100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "029208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELITE 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 Dec 20, 2011; 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.