Organization Active NPI

RX Drug Corp

Doing business as RX Pharmacy

  • Community/Retail Pharmacy
  • New Hyde Park, NY
National Provider Identifier
1366595852
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
025343 Issued in NY
Legal business name
RX DRUG CORP
Doing business as
RX Pharmacy
Practice address
410 Lakeville Rd
Suite 102
New Hyde Park, NY 11042-1101
Phone
(516) 352-2337
Fax
(516) 775-0595
NPI assigned
Jan 19, 2007
Last updated
Jul 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Chet Shah
Title
Owner
Phone
(516) 352-2337

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 025343 NY Primary

Addresses

Primary practice location

410 Lakeville Rd
Suite 102
New Hyde Park, NY 11042-1101

Mailing address

3 Mackay Way
Roslyn, NY 11576-2175
Phone (516) 448-8053

Other identifiers 2

IdentifierTypeStateIssuer
3349974OtherNCPDP PROVIDER IDENTIFICATION NUMBER
02217072MedicaidNY

Other names 1

  • RX PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
RX Drug Corp2 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.

Locations

410 Lakeville Rd
Ste 102
New Hyde Park, NY 11042
Phone (516) 352-2337

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1366595852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MACKAY WAY",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762175",
            "telephone_number": "516-448-8053",
            "fax_number": "516-775-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 LAKEVILLE RD",
            "address_2": "SUITE 102",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421101",
            "telephone_number": "516-352-2337",
            "fax_number": "516-775-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "CHET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-352-2337"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3349974",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02217072",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.