Active NPI
Grand RX Pharmacy Inc
- Community/Retail Pharmacy
- Elmhurst, NY
National Provider Identifier
1194529644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- GRAND RX PHARMACY INC
- Practice address
- 8404 Queens Blvd
Elmhurst, NY 11373-5213 - Phone
- (347) 395-0245
- Fax
- (347) 242-2148
- NPI assigned
- Apr 3, 2025
- 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
- Moisey Rakhminov
- Title
- President
- Phone
- (347) 395-0245
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X | |||
| Mail Order Pharmacy | 3336M0002X |
Addresses
Primary practice location
8404 Queens Blvd
Elmhurst, NY 11373-5213
Mailing address
8404 Queens Blvd
Elmhurst, NY 11373-5213
Phone (347) 395-0245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250811001525 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 7012415938 | Practice locations: Elmhurst, NY |
| O20250908000935 | NY | DME Supplier - Pharmacy | 7012415938 | Practice locations: Elmhurst, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Grand RX Pharmacy Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
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.
-
- Pharmacist
- Elmhurst, NY
- NPI 1841178225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755648000000",
"number": "1194529644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8404 QUEENS BLVD",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113735213",
"telephone_number": "347-395-0245",
"fax_number": "347-242-2148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8404 QUEENS BLVD",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113735213",
"telephone_number": "347-395-0245",
"fax_number": "347-242-2148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAND RX PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-03",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A",
"authorized_official_last_name": "RAKHMINOV",
"authorized_official_first_name": "MOISEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-395-0245"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.