Active NPI
Local RX Pharmacy LLC
- Community/Retail Pharmacy
- Rego Park, NY
National Provider Identifier
1174921332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- LOCAL RX PHARMACY LLC
- Practice address
- 9516 Queens Blvd
Rego Park, NY 11374-1136 - Phone
- (718) 275-5300
- NPI assigned
- Dec 19, 2014
- Last updated
- Mar 16, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Georgiy Davidov
- Title
- Supervising Pharmacist
- Phone
- (718) 577-0200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
9516 Queens Blvd
Rego Park, NY 11374-1136
Mailing address
9516 Queens Blvd
Rego Park, NY 11374-1136
Phone (718) 275-5300
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Pharmacist
- Woodhaven, NY
- NPI 1972828937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458086400000",
"number": "1174921332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9516 QUEENS BLVD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113741136",
"telephone_number": "718-275-5300",
"fax_number": "718-275-5311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9516 QUEENS BLVD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113741136",
"telephone_number": "718-275-5300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOCAL RX PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-19",
"last_updated": "2016-03-16",
"status": "A",
"authorized_official_last_name": "DAVIDOV",
"authorized_official_first_name": "GEORGIY",
"authorized_official_title_or_position": "SUPERVISING PHARMACIST",
"authorized_official_telephone_number": "718-577-0200"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.