R.a Elite Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

029208 Issued in NY

Legal business name

R.A ELITE INC

Practice address

7537 Main St
Flushing, NY 11367-3136

Phone

(718) 263-8100

Fax

(718) 263-8111

NPI assigned

Jan 2, 2009

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• ELITE PHARMACY Doing business as

Locations

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "029208",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELITE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• 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.