Madison RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MADISON RX INC

Practice address

1701 Madison St
Ridgewood, NY 11385-3698

Phone

(929) 295-0700

Fax

(929) 295-0699

NPI assigned

Oct 13, 2020

Last updated

Oct 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jose Martin Bussola

Title

President

Phone

(929) 295-0700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1316545361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 MADISON ST",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853698",
            "telephone_number": "929-295-0700",
            "fax_number": "929-295-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MADISON ST",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853698",
            "telephone_number": "929-295-0700",
            "fax_number": "929-295-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "BUSSOLA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-295-0700"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Lowenstein, CCC- SLP
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• Thit Lwin, MSED
• Melinda Mabutas, PT
• Zenaida Salle Macalimbon
• Bhavani Mahankali, MD
• Elysia Louise Jungin Mahardy, LMT
• Roy Mahesh
• Simon Malak
• Rabia Malik

• Community/Retail Pharmacy in Ridgewood, NY
• Providers in Ridgewood, 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 Oct 13, 2020; 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.