Organization Active NPI

Leader RX Pharmacy LLC

  • Community/Retail Pharmacy
  • Forest Hills, NY
National Provider Identifier
1700501681
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LEADER RX PHARMACY LLC
Practice address
6346 108TH St
Forest Hills, NY 11375-1350
Phone
(718) 340-1550
Fax
(718) 340-1551
NPI assigned
Oct 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Igor AronovNPI 1154505394
Title
Managing Member
Phone
(718) 304-1550

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 1

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

Addresses

Primary practice location

6346 108TH St
Forest Hills, NY 11375-1350

Mailing address

6346 108TH St
Forest Hills, NY 11375-1350
Phone (718) 304-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20230405001710 NY Part B Supplier - Mass Immunization (Roster Biller Only) 9638544679 Practice locations: Forest Hills, NY
O20230424001100 NY DME Supplier - Pharmacy 9638544679 Practice locations: Forest Hills, NY
O20260114003851 NY Part B Supplier - Pharmacy 9638544679 Practice locations: Forest Hills, 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
Leader RX Pharmacy LLC6346 108TH St, Forest Hills, NY 11375-1350(718) 304-1550 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Feb 25, 2023

National Provider Directory

National Provider Directory

Locations

6346 108th St
Forest Hills, NY 11375
Phone (718) 304-1550

Practitioners & affiliated clinicians

Practitioners 2

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": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1700501681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6346 108TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751350",
            "telephone_number": "718-304-1550",
            "fax_number": "718-304-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6346 108TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751350",
            "telephone_number": "718-340-1550",
            "fax_number": "718-340-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADER RX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "ARONOV",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "718-304-1550"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.