Organization Active NPI

RXRR Pharmacy Corp

Doing business as Plaza de la Salud Pharmacy

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1417783663
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RXRR PHARMACY CORP
Doing business as
Plaza de la Salud Pharmacy
Practice address
2001A Jerome Ave
Bronx, NY 10453-1803
Phone
(917) 825-9486
Fax
(347) 808-2470
NPI assigned
Sep 12, 2024
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Mr. Randy RodriguezNPI 1730936337
Title
President
Phone
(917) 825-9486

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2001A Jerome Ave
Bronx, NY 10453-1803

Mailing address

2001A Jerome Ave
Bronx, NY 10453-1803
Phone (917) 825-9486

Other names 1

  • PLAZA DE LA SALUD PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250226001789 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2163942749 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

2001A Jerome Ave
Bronx, NY 10453
Phone (917) 825-9486

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": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1417783663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001A JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104531803",
            "telephone_number": "917-825-9486",
            "fax_number": "347-808-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001A JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104531803",
            "telephone_number": "917-825-9486",
            "fax_number": "347-808-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXRR PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-825-9486",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLAZA DE LA SALUD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.