Organization Active NPI

Stat RX Pharmacy, Inc.

  • Specialty Pharmacy
  • Bronx, NY
National Provider Identifier
1639369671
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
STAT RX PHARMACY, INC.
Practice address
235 E 167 St
Bronx, NY 10456-4024
Phone
(718) 538-4754
Fax
(718) 538-4802
NPI assigned
Jul 26, 2007
Last updated
Oct 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Authorized official

Name
Mr. Oleg Aronov
Title
President and Ceo
Phone
(516) 810-9290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X NU Primary

Addresses

Primary practice location

235 E 167 St
Bronx, NY 10456-4024

Mailing address

235 E 167 St
Bronx, NY 10456-4024
Phone (718) 538-4754

Other identifiers 1

IdentifierTypeStateIssuer
02902541MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160909000149 NY DME Supplier - Pharmacy 1557657038 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

235 E 167th St
Bronx, NY 10456
Phone (718) 538-4754

Practitioners & affiliated clinicians

Practitioners 1

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": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1639369671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E 167 ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104564024",
            "telephone_number": "718-538-4754",
            "fax_number": "718-538-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E 167 ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104564024",
            "telephone_number": "718-538-4754",
            "fax_number": "718-538-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT RX PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "ARONOV",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "516-810-9290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02902541",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.