Active NPI
In & Out RX Inc
- Community/Retail Pharmacy
- Lawrence, NY
National Provider Identifier
1194416248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- IN & OUT RX INC
- Practice address
- 359 Central Ave Rear
Lawrence, NY 11559-1681 - Phone
- (516) 283-2692
- NPI assigned
- May 18, 2023
- 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
- Mr. Borik Nisanov
- Title
- President
- Phone
- (516) 283-2692
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
359 Central Ave Rear
Lawrence, NY 11559-1681
Mailing address
359 Central Ave Rear
Lawrence, NY 11559-1681
Phone (516) 283-2692
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684368000000",
"number": "1194416248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "359 CENTRAL AVE REAR",
"city": "LAWRENCE",
"state": "NY",
"postal_code": "115591681",
"telephone_number": "516-283-2692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "359 CENTRAL AVE REAR",
"city": "LAWRENCE",
"state": "NY",
"postal_code": "115591681",
"telephone_number": "516-283-2692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN & OUT RX INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-18",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A",
"authorized_official_last_name": "NISANOV",
"authorized_official_first_name": "BORIK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-283-2692",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.