Doma RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DOMA RX INC

Practice address

9619 69TH Ave Unit 1
Forest Hills, NY 11375-5139

Phone

(718) 487-3437

Fax

(718) 487-3205

NPI assigned

Feb 19, 2024

Last updated

Feb 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roman DomatovNPI 1811502107

Title

President

Phone

(718) 487-3437

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

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.

• Roman R Domatov

  • Pharmacist
  • Rego Park, NY
  • NPI 1811502107
  NPD Authorized official

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1407611544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9619 69TH AVE UNIT 1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755139",
            "telephone_number": "718-487-3437",
            "fax_number": "718-487-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9619 69TH AVE UNIT 1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755139",
            "telephone_number": "718-487-3437",
            "fax_number": "718-487-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMA RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-17",
        "status": "A",
        "authorized_official_last_name": "DOMATOV",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-487-3437"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yandra Marisol Doering, RDN, CDN
• Christina Marie Doherty, RPH
• Maria Dolgovina, MD
• Alexander E Dolsky, PT
• Vadim Dolsky, LAC
• Gliceria Dominguez, M.D.
• Shari Dominianni, LCSW
• Robert Bruce Donadt, MD
• Chun Dong
• Yinuo Dong

• Community/Retail Pharmacy in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.