Organization Active NPI

Park RX Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1629934369
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PARK RX INC
Practice address
3405 Avenue S
Brooklyn, NY 11234-4825
Phone
(516) 699-3905
Fax
(646) 444-8313
NPI assigned
Dec 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Authorized official

Name
Yuriy Produn
Title
Owner
Phone
(646) 770-4630

Specialties & licenses 1

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

Addresses

Primary practice location

3405 Avenue S
Brooklyn, NY 11234-4825

Mailing address

3405 Avenue S
Brooklyn, NY 11234-4825
Phone (516) 699-3905

National Provider Directory

National Provider Directory

Locations

3405 Avenue S
Brooklyn, NY 11234
Phone (516) 699-3905

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1766707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766707200000",
    "number": "1629934369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344825",
            "telephone_number": "516-699-3905",
            "fax_number": "646-444-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344825",
            "telephone_number": "516-699-3905",
            "fax_number": "646-444-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-26",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A",
        "authorized_official_last_name": "PRODUN",
        "authorized_official_first_name": "YURIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-770-4630"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.