Supreme RX Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030447 Issued in NY

Legal business name

SUPREME RX PHARMACY CORP

Practice address

3011 Avenue N
Brooklyn, NY 11210-5410

Phone

(718) 677-6600

Fax

(718) 677-6601

NPI assigned

Aug 14, 2010

Organization subpart

No

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

Authorized official

Name

Tanya Mizrahi, BSNPI 1104085760

Title

Pharmacist

Phone

(718) 677-6600

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SUPREME RX PHARMACY CORP Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Tanya Mizrahi

  • Pharmacist
  • Brooklyn, NY
  • NPI 1104085760
  NPD Authorized official
• Denise Mizrahi, PHARM D

  • Pharmacist
  • Brooklyn, NY
  • NPI 1447503495
  NPD (past)

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

{
    "created_epoch": "1281744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1699080622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105410",
            "telephone_number": "718-677-6600",
            "fax_number": "718-677-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105410",
            "telephone_number": "718-677-6600",
            "fax_number": "718-677-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME RX PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-14",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "MIZRAHI",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-677-6600",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3299869",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128216",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPREME RX PHARMACY CORP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Supreme DME Ny
• Supreme Eyecare Center Corp
• Supreme Optical Inc
• Supreme Patient Advocates
• Supreme RX Pharmacy Corp
• Suprx Pharmacy Inc
• Selena S Suquitana
• Avtar Sur, MBCHB
• Jiulia Surace, RPH
• Nicole Surach, PT, DPT

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.