Organization Active NPI

Galaxy RX Inc

  • Community/Retail Pharmacy
  • Woodside, NY
National Provider Identifier
1346834835
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GALAXY RX INC
Practice address
4702 47TH Ave
Woodside, NY 11377-6125
Phone
(718) 786-8785
Fax
(718) 786-8760
NPI assigned
Feb 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Irina Polvanova
Title
President
Phone
(718) 786-8785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4702 47TH Ave
Woodside, NY 11377-6125

Mailing address

4702 47TH Ave
Woodside, NY 11377-6125
Phone (718) 786-8785

National Provider Directory

National Provider Directory

Locations

4702 47th Ave
Woodside, NY 11377
Phone (718) 532-4705

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1346834835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 47TH AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113776125",
            "telephone_number": "718-786-8785",
            "fax_number": "718-786-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 47TH AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113776125",
            "telephone_number": "718-786-8785",
            "fax_number": "718-786-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALAXY RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "POLVANOVA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-786-8785"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.