Organization Active NPI

Family RX Corp

  • Community/Retail Pharmacy
  • Glendale, NY
National Provider Identifier
1366093411
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FAMILY RX CORP
Practice address
6929 Myrtle Ave
Glendale, NY 11385-7265
Phone
(347) 916-1895
Fax
(347) 916-1764
NPI assigned
Sep 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Elshan Suleymanov
Title
Owner
Phone
(347) 916-1895

Specialties & licenses 1

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

Addresses

Primary practice location

6929 Myrtle Ave
Glendale, NY 11385-7265

Mailing address

6929 Myrtle Ave
Glendale, NY 11385-7265
Phone (347) 916-1895

Other identifiers 1

IdentifierTypeStateIssuer
6208057MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220812000594 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1153759931 Practice locations: Glendale, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1366093411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6929 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857265",
            "telephone_number": "347-916-1895",
            "fax_number": "347-916-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6929 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857265",
            "telephone_number": "347-916-1895",
            "fax_number": "347-916-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY RX CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "SULEYMANOV",
        "authorized_official_first_name": "ELSHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-916-1895"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6208057",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.