Organization Active NPI

Cypress RX Inc

  • Community/Retail Pharmacy
  • Ridgewood, NY
National Provider Identifier
1356040711
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CYPRESS RX INC
Practice address
1105 Cypress Ave
Ridgewood, NY 11385-6087
Phone
(347) 599-1805
Fax
(347) 599-1806
NPI assigned
Feb 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Juliette Zuly Pinkhasov
Title
Owner
Phone
(347) 599-1805

Specialties & licenses 1

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

Addresses

Primary practice location

1105 Cypress Ave
Ridgewood, NY 11385-6087

Mailing address

1105 Cypress Ave
Ridgewood, NY 11385-6087
Phone (347) 599-1805

Other identifiers 1

IdentifierTypeStateIssuer
040118OtherNYBOARD OF PHARMACY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230531000533 NY Part B Supplier - Pharmacy 7315304755 Practice locations: Ridgewood, NY
O20230922002353 NY DME Supplier - Pharmacy 7315304755 Practice locations: Flushing, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Cypress RX Inc1105 Cypress Ave, Flushing, NY 11385-6087(347) 599-1805 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since May 1, 2023

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1356040711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 CYPRESS AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113856087",
            "telephone_number": "347-599-1805",
            "fax_number": "347-599-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 CYPRESS AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113856087",
            "telephone_number": "347-599-1805",
            "fax_number": "347-599-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "PINKHASOV",
        "authorized_official_first_name": "JULIETTE",
        "authorized_official_middle_name": "ZULY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-599-1805"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "040118",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.