Pain Relief RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PAIN RELIEF RX INC

Practice address

6303 Dry Harbor Rd
Middle Village, NY 11379-1964

Phone

(718) 255-6443

NPI assigned

Dec 3, 2020

Organization subpart

No

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

Authorized official

Name

Khaim Mullokandov

Title

Owner

Phone

(718) 255-6443

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1225633670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 DRY HARBOR RD",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791964",
            "telephone_number": "718-255-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 DRY HARBOR RD",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791964",
            "telephone_number": "718-255-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN RELIEF RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "MULLOKANDOV",
        "authorized_official_first_name": "KHAIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-255-6443"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryann Osorio
• Luz Mariel Oviedo, LCSW
• PA Health Inc
• Pamela Pacheco
• Nicole Elizabeth Pagnotta
• Julia Papale
• Bea Kay Marie Chan Pardillo, NP
• Heesun Park, LCAT
• Audrey Parraga, M.A. CCC-SLP
• Ariana Patane, PA

• Community/Retail Pharmacy in Middle Village, NY
• Providers in Middle 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 Jan 6, 2021; 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.