Organization Active NPI

R&M Pharmacy LLC

  • Community/Retail Pharmacy
  • Rego Park, NY
National Provider Identifier
1598407835
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
R&M PHARMACY LLC
Practice address
9135 63Rd Dr
Rego Park, NY 11374-3849
Phone
(718) 684-9454
Fax
(718) 684-9868
NPI assigned
Apr 7, 2022
Last updated
Jul 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
David Rakhminov
Title
Managing Member
Phone
(718) 684-9454

Specialties & licenses 1

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

Addresses

Primary practice location

9135 63Rd Dr
Rego Park, NY 11374-3849

Mailing address

9135 63Rd Dr
Rego Park, NY 11374-3849
Phone (718) 684-9454

Other identifiers 1

IdentifierTypeStateIssuer
07054511MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230615002111 NY Part B Supplier - Mass Immunization (Roster Biller Only) 8820456379 Practice locations: Rego Park, 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": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1598407835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743849",
            "telephone_number": "718-684-9454",
            "fax_number": "718-684-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743849",
            "telephone_number": "718-684-9454",
            "fax_number": "718-684-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R&M PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "RAKHMINOV",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "718-684-9454"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07054511",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.