Modern RX Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MODERN RX PHARMACY INC

Practice address

6298 Woodhaven Blvd
Rego Park, NY 11374-3345

Phone

(929) 553-2211

Fax

(929) 553-2212

NPI assigned

Apr 5, 2021

Last updated

Jul 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eduard Aronov

Title

Owner

Phone

(929) 553-2211

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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.

• Diane M Renzulli, D.C.

  • Chiropractor
  • Rego Park, NY
  • NPI 1851541858
  NPD (past)

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1174102362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6298 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743345",
            "telephone_number": "929-553-2211",
            "fax_number": "929-553-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6298 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743345",
            "telephone_number": "929-553-2211",
            "fax_number": "929-553-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN RX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "ARONOV",
        "authorized_official_first_name": "EDUARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-553-2211"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Debbie Mirzokandov
• Alek Mishail, M.D.
• Mishkina Terrane NP in Adult Health P.C (MK Medical P.C)
• Nicole Andrea Mitchell-Semple
• Michelle Abiola Mitchell
• Chrystie A Modica, M.S. CCC-SLP
• Talia Moghaddam
• Eman Mohamed Mohamed
• Moise Physical Therapy Co
• Christine D. Momich, OTR/L

• 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 Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.