Organization Active NPI

Wilson Drugs Inc

Doing business as Rimco Pharmacy

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1629165600
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
026621 Issued in NY
Legal business name
WILSON DRUGS INC
Doing business as
Rimco Pharmacy
Practice address
623 Wilson Ave
Brooklyn, NY 11207-1220
Phone
(718) 919-9131
Fax
(718) 919-5060
NPI assigned
Oct 9, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Rajendraprasad Venigalla, RPH
Title
President
Phone
(718) 919-9131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 026621 NY Primary

Addresses

Primary practice location

623 Wilson Ave
Brooklyn, NY 11207-1220

Mailing address

623 Wilson Ave
Brooklyn, NY 11207-1220
Phone (718) 919-9131

Other identifiers 2

IdentifierTypeStateIssuer
3393650OtherNCPDP
02497405MedicaidNY

Other names 1

  • RIMCO PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930061331 NY DME Supplier - Pharmacy 5092924845 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Wilson Drugs Inc623 Wilson Ave, Brooklyn, NY 11207-1220(718) 919-9131 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since Jun 9, 2004

National Provider Directory

National Provider Directory

Locations

623 Wilson Ave
Brooklyn, NY 11207
Phone (718) 919-9131

Practitioners & affiliated clinicians

Practitioners 4

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": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1629165600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 WILSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112071220",
            "telephone_number": "718-919-9131",
            "fax_number": "718-919-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 WILSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112071220",
            "telephone_number": "718-919-9131",
            "fax_number": "718-919-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "VENIGALLA",
        "authorized_official_first_name": "RAJENDRAPRASAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-919-9131",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3393650",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02497405",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIMCO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.