Organization Active NPI

RX Express Pharma LLC

  • Community/Retail Pharmacy
  • Jamaica, NY
National Provider Identifier
1659913671
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RX EXPRESS PHARMA LLC
Practice address
12307 Liberty Ave
Jamaica, NY 11419-2115
Phone
(718) 322-7320
Fax
(718) 322-7168
NPI assigned
Oct 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Authorized official

Name
Padmavathi Patcha
Title
Member
Phone
(718) 322-7320

Specialties & licenses 1

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

Addresses

Primary practice location

12307 Liberty Ave
Jamaica, NY 11419-2115

Mailing address

12307 Liberty Ave
Jamaica, NY 11419-2115
Phone (718) 322-7320

Other names 1

  • RX SPRESS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191230002368 NY DME Supplier - Pharmacy 7416381355 Practice locations: Jamaica, NY
O20210512001577 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7416381355 Practice locations: Jamaica, 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
RX Express Pharma LLC12307 Liberty Ave, Jamaica, NY 11419-2115(718) 322-7320 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Enteral Nutrients|Neb… Accepts assignmentParticipating since Mar 1, 2021

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1659913671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12307 LIBERTY AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114192115",
            "telephone_number": "718-322-7320",
            "fax_number": "718-322-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12307 LIBERTY AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114192115",
            "telephone_number": "718-322-7320",
            "fax_number": "718-322-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX EXPRESS PHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "PATCHA",
        "authorized_official_first_name": "PADMAVATHI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-322-7320"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RX SPRESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.