LLM RX Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LLM RX INC.

Practice address

21913 Jamaica Ave
Queens Village, NY 11428-2126

Phone

(718) 704-0808

Fax

(718) 704-0818

NPI assigned

Sep 12, 2019

Organization subpart

No

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

Authorized official

Name

Albert Moradov

Title

President

Phone

(718) 704-0808

Specialties & licenses 1

Addresses

Other names 1

• WELLMART PHARMACY Doing business as

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1215587159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21913 JAMAICA AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114282126",
            "telephone_number": "718-704-0808",
            "fax_number": "718-704-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21913 JAMAICA AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114282126",
            "telephone_number": "718-704-0808",
            "fax_number": "718-704-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLM RX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "MORADOV",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-704-0808"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLMART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wilmide Lincifort, LPN
• Shanoya Lindo, LPN
• Lionel Barrau M.D. & Marc J. Yunis M.D.
• Alessandro Francesco Liuzzi Solis, MD
• Lived Experience Therapists, LCSW PLLC
• Patricia Loe-a-Foe
• Ronald Andre Lombino, RPH
• Long Island Jewish Medical Center
• Manuel Lopez, M.D.
• Jean-Hans Cliford Loubeau

• Community/Retail Pharmacy in Queens Village, NY
• Providers in Queens Village, 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 Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.