Active NPI
R&M Pharmacy LLC
- Community/Retail Pharmacy
- Rego Park, NY
National Provider Identifier
1598407835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07054511 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230615002111 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 8820456379 | Practice locations: Rego Park, NY |
National Provider Directory
National Provider DirectoryNPI 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.