Havana RX Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

HAVANA RX INC

Practice address

9020 80TH St
Woodhaven, NY 11421-2465

Phone

(347) 233-4040

Fax

(347) 233-4039

NPI assigned

Feb 26, 2025

Organization subpart

No

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

Authorized official

Name

Nissim Shavratov

Title

President

Phone

(347) 233-4040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1679370720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 80TH ST",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212465",
            "telephone_number": "347-233-4040",
            "fax_number": "347-233-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 80TH ST",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212465",
            "telephone_number": "347-233-4040",
            "fax_number": "347-233-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVANA RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "SHAVRATOV",
        "authorized_official_first_name": "NISSIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-233-4040"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Woodhaven, NY
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• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.