Organization Active NPI

Pure Care RX Inc.

  • Community/Retail Pharmacy
  • Ozone Park, NY
National Provider Identifier
1174407589
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PURE CARE RX INC.
Practice address
8317 101St Ave
Ozone Park, NY 11416-2012
Phone
(347) 544-9936
Fax
(347) 783-0671
NPI assigned
Jul 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Gary Sadykov
Title
President
Phone
(347) 544-9936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

8317 101St Ave
Ozone Park, NY 11416-2012

Mailing address

8317 101St Ave
Ozone Park, NY 11416-2012
Phone (347) 544-9936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20260204002493 NY Part B Supplier - Pharmacy 5597244111 Practice locations: Ozone Park, NY
O20260420000906 NY DME Supplier - Pharmacy 5597244111 Practice locations: Ozone Park, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Pure Care RX Inc.8317 101St Ave, Ozone Park, NY 11416-2012(347) 544-9936 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Dec 15, 2025

National Provider Directory

National Provider Directory

Locations

8317 101st Ave
Ozone Park, NY 11416
Phone (347) 544-9936

NPI Registry JSON

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1174407589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8317 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162012",
            "telephone_number": "347-544-9936",
            "fax_number": "347-783-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8317 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162012",
            "telephone_number": "347-544-9936",
            "fax_number": "347-783-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE CARE RX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-31",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "SADYKOV",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-544-9936"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.