Dominus RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DOMINUS RX LLC

Doing business as

LAWRENCE PHARMACY

Practice address

740 New Lots Ave
Brooklyn, NY 11207-7319

Phone

(718) 649-0180

Fax

(718) 649-2720

NPI assigned

Feb 17, 2023

Organization subpart

No

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

Authorized official

Name

Kleber Alfredo Rivera

Title

President / Owner

Phone

(718) 649-0180

Specialties & licenses 1

Addresses

Other names 1

• LAWRENCE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Dominus RX LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dominus RX LLC

  • Long Term Care Pharmacy
  • Brooklyn, NY
  • NPI 1396668646
  NPD tax ID

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1316645450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 NEW LOTS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112077319",
            "telephone_number": "718-649-0180",
            "fax_number": "718-649-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 NEW LOTS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112077319",
            "telephone_number": "718-649-0180",
            "fax_number": "718-649-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINUS RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "KLEBER",
        "authorized_official_middle_name": "ALFREDO",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "718-649-0180"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAWRENCE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jury Dominise, PHYSICAL THERAPIST
• Josef Dominitz
• Toby Dominitz, MSED
• Domino Dental
• Nataliya Dominskaya, RN
• Dominus RX LLC
• Kinga Domitrz
• Dede Domlan-Loko
• Kylie Domlija
• Ilya Domnich, M.D.

• 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 Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.