Nationalrx LLC

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

Legal business name

NATIONALRX LLC

Practice address

11 N Airmont Rd Ste 7
Suffern, NY 10901-5103

Phone

(845) 533-4036

Fax

(845) 503-2490

NPI assigned

Nov 12, 2025

Organization subpart

No

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

Authorized official

Name

Shimon Polter

Title

Owner

Phone

(845) 533-4036

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1275493355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N AIRMONT RD STE 7",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015103",
            "telephone_number": "845-533-4036",
            "fax_number": "845-503-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N AIRMONT RD STE 7",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015103",
            "telephone_number": "845-533-4036",
            "fax_number": "845-503-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONALRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "POLTER",
        "authorized_official_first_name": "SHIMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-533-4036"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mail Order Pharmacy in Suffern, NY
• Providers in Suffern, NY by specialty
• Mail Order Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.

Verify at the official NPI Registry.