Organization Active NPI

R and M Drug Corp

Doing business as Vitality Drug & Surgical

  • Community/Retail Pharmacy
  • Glen Oaks, NY
National Provider Identifier
1639180284
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
026154 Issued in NY
Legal business name
R AND M DRUG CORP
Doing business as
Vitality Drug & Surgical
Practice address
25921 Union Tpke
Glen Oaks, NY 11004-1248
Phone
(718) 343-0070
Fax
(718) 343-0096
NPI assigned
Aug 10, 2006
Last updated
Feb 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Payal Prajesh PatelNPI 1851678205
Title
Supervising Pharmacist
Phone
(718) 343-0070

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X 026154 NY Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

25921 Union Tpke
Glen Oaks, NY 11004-1248

Mailing address

25921 Union Tpke
Glen Oaks, NY 11004-1248
Phone (718) 343-0070

Other identifiers 2

IdentifierTypeStateIssuer
2059483OtherPK
02405012MedicaidNY

Other names 1

  • VITALITY DRUG & SURGICAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930092858 NY DME Supplier - Pharmacy 1456568898 Practice locations: Glen Oaks, NY
O20210216002883 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1456568898 Practice locations: Glen Oaks, NY
O20220418001359 NY Part B Supplier - Pharmacy 1456568898 Practice locations: Glen Oaks, NY

National Provider Directory

National Provider Directory
Tax ID family
R and M Drug Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

25707 Union Tpke
Glen Oaks, NY 11004
Phone (718) 343-0070

Practitioners & affiliated clinicians

Practitioners 7

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": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1639180284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25921 UNION TPKE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041248",
            "telephone_number": "718-343-0070",
            "fax_number": "718-343-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25921 UNION TPKE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041248",
            "telephone_number": "718-343-0070",
            "fax_number": "718-343-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R AND M DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PAYAL",
        "authorized_official_middle_name": "PRAJESH",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-343-0070"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026154",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2059483",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02405012",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VITALITY DRUG & SURGICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Oaks, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.