77 Pharmacy Inc
Organization Active NPI Long Term Care Pharmacy · Jackson Heights, NY
NPI 1255296299 · NPPES record last updated Dec 22, 2025
Key facts
- NPI
- 1255296299
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- Legal business name
- 77 PHARMACY INC
- Practice address
- 8215 Roosevelt Ave
Jackson Heights, NY 11372-7034 - Phone
- (718) 898-7777
- Fax
- (718) 898-7775
- NPI assigned
- Dec 22, 2025
- Organization subpart
- No
Authorized official
- Name
- Ronald Rivas
- Title
- Owner
- Phone
- (718) 684-1595
Corporate family (same tax ID) 1
Practitioners 1
-
Jae Lee, PHARMD
National Provider Directory
- Tax ID family
- 77 Pharmacy
Locations
8215 Roosevelt Ave
Jackson Heights, NY 11372
Phone (718) 205-7709
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Yes |
Addresses
Primary practice location
8215 Roosevelt Ave
Jackson Heights, NY 11372-7034
Mailing address
8215 Roosevelt Ave
Jackson Heights, NY 11372-7034
Phone (718) 898-7777
Other providers in Jackson Heights, NY
- 63Rd Drive RX, Inc.
- 63Rd Drive RX, Inc.
- 75TH Street Medical PC
- 77 Dental PC
- 77 Pharmacy Inc
- 82ND Dental PLLC
- 84 Street Medical PC
- 90-15 Roosevelt Pharmacy Corp
- 9301 Health Medical Corner PC
- 9317 Medical Office PC
All providers in Jackson Heights, NY · Long Term Care Pharmacy in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.