Organization Active NPI

Lom RX Inc

  • Community/Retail Pharmacy
  • Woodside, NY
National Provider Identifier
1396469433
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LOM RX INC
Practice address
4611 48TH Ave
Woodside, NY 11377-6559
Phone
(347) 918-5800
Fax
(347) 752-4313
NPI assigned
Oct 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Salamon Yagodaev
Title
President
Phone
(347) 918-5800

Specialties & licenses 1

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

Addresses

Primary practice location

4611 48TH Ave
Woodside, NY 11377-6559

Mailing address

4611 48TH Ave
Woodside, NY 11377-6559
Phone (347) 918-5800

Other names 1

  • RAPID DRUGS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230124003196 NY Part B Supplier - Pharmacy 3971973421 Practice locations: Woodside, 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": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1396469433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 48TH AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113776559",
            "telephone_number": "347-918-5800",
            "fax_number": "347-752-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 48TH AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113776559",
            "telephone_number": "347-918-5800",
            "fax_number": "347-752-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOM RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "YAGODAEV",
        "authorized_official_first_name": "SALAMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-918-5800"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAPID DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 3, 2022; 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.