Organization Active NPI

Elite RX Inc

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1548017924
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ELITE RX INC
Practice address
19506 47TH Ave
Flushing, NY 11358-3910
Phone
(917) 285-2177
Fax
(917) 634-8940
NPI assigned
May 2, 2024
Last updated
Jan 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
David BabayevNPI 1518667955
Title
Owner
Phone
(917) 285-2177

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 2

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

Addresses

Primary practice location

19506 47TH Ave
Flushing, NY 11358-3910

Mailing address

19506 47TH Ave
Flushing, NY 11358-3910
Phone (917) 285-2177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240813001637 NY Part B Supplier - Pharmacy 1557809258 Practice locations: Flushing, NY
O20241108001393 NY DME Supplier - Pharmacy 1557809258 Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

19506 47th Ave
Flushing, NY 11358
Phone (917) 285-2177

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": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1548017924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19506 47TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583910",
            "telephone_number": "917-285-2177",
            "fax_number": "917-634-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19506 47TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583910",
            "telephone_number": "917-285-2177",
            "fax_number": "917-634-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "BABAYEV",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-285-2177"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.