Organization Active NPI

Your Wellness RX Inc.

Doing business as your wellness rx

  • Pharmacy
  • Astoria, NY
National Provider Identifier
1649736083
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
YOUR WELLNESS RX INC.
Doing business as
your wellness rx
Practice address
2107 21St Ave
Astoria, NY 11105-3247
Phone
(718) 545-2121
Fax
(718) 545-2124
NPI assigned
Feb 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Authorized official

Name
Herode Chancy
Title
President
Phone
(718) 545-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

2107 21St Ave
Astoria, NY 11105-3247

Mailing address

2107 21St Ave
Astoria, NY 11105-3247
Phone (718) 545-2121

Other names 1

  • your wellness rx Doing business as

National Provider Directory

National Provider Directory

Locations

2107 21st Ave
Astoria, NY 11105
Phone (929) 208-0128

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1649736083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 21ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111053247",
            "telephone_number": "718-545-2121",
            "fax_number": "718-545-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 21ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111053247",
            "telephone_number": "718-545-2121",
            "fax_number": "718-545-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR WELLNESS RX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "CHANCY",
        "authorized_official_first_name": "HERODE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-545-2121"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "your wellness rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.