Alice RX Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ALICE RX CORP

Practice address

231 S 3Rd St
Brooklyn, NY 11211-5601

Phone

(718) 502-6969

Fax

(718) 502-6979

NPI assigned

Apr 23, 2018

Organization subpart

No

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

Authorized official

Name

Avital MullokandovNPI 1508812587

Title

President

Phone

(718) 502-6969

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ALICE RX CORP Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These 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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Avital Mullokandov, P.A.

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1508812587
  NPD Authorized official

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1235626557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 S 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112115601",
            "telephone_number": "718-502-6969",
            "fax_number": "718-502-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 S 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112115601",
            "telephone_number": "718-502-6969",
            "fax_number": "718-502-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE RX CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "MULLOKANDOV",
        "authorized_official_first_name": "AVITAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-502-6969"
    },
    "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
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177386",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05592645",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALICE RX CORP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zakiya Ali
• Aliado Wellness, LLC
• Leticia Tania Aliaga, RD, CDE, CDR
• Alice Chiu, OT, PC
• Alice Hoang, DMD, PLLC
• Nicole Beatriz Alicea Trelles
• Christina Alicea-Cosme
• Cassandra Belle Alicea-Coster, LCSW
• Eilliut Alicea, MD
• Eliza Alicea

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, 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 Jul 25, 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.

Verify at the official NPI Registry.