Organization Active NPI

Uss RX Inc

  • Community/Retail Pharmacy
  • South Richmond Hill, NY
National Provider Identifier
1689610131
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
027639 Issued in NY
Legal business name
USS RX INC
Practice address
13407 Liberty Ave
South Richmond Hill, NY 11419-2354
Phone
(718) 206-0716
Fax
(718) 206-0578
NPI assigned
Jun 22, 2006
Last updated
Jun 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Authorized official

Name
Vishwanatham ChikotiNPI 1235387374
Title
Owner Suvp PHRM
Phone
(718) 206-0716

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 027639 NY Primary

Addresses

Primary practice location

13407 Liberty Ave
South Richmond Hill, NY 11419-2354

Mailing address

134-07
Liberty Ave
Richmond Hill, NY 11419
Phone (718) 206-0716

Other identifiers 2

IdentifierTypeStateIssuer
09680151MedicaidNY
2061053OtherPK

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930050061 NY DME Supplier - Pharmacy 7315149721 Practice locations: South Richmond Hill, NY
O20220824002511 NY Part B Supplier - Pharmacy 7315149721 Practice locations: South Richmond Hill, 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
Georgetown Pharmacy13407 Liberty Ave, South Richmond Hill, NY 11419-2354(718) 206-0716 Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Nebulizer Equipment and/or Supplies|Surgical Dressings Accepts assignmentParticipating since Jan 1, 2007

National Provider Directory

National Provider Directory

Locations

13407 Liberty Ave
South Richmond Hill, NY 11419
Phone (718) 206-0716

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": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1689610131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134-07",
            "address_2": "LIBERTY AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "11419",
            "telephone_number": "718-206-0716",
            "fax_number": "718-206-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13407 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192354",
            "telephone_number": "718-206-0716",
            "fax_number": "718-206-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USS RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "CHIKOTI",
        "authorized_official_first_name": "VISHWANATHAM",
        "authorized_official_title_or_position": "OWNER SUVP PHRM",
        "authorized_official_telephone_number": "718-206-0716"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09680151",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2061053",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.