Organization Active NPI

National RX Pharma Inc.

  • Community/Retail Pharmacy
  • Corona, NY
National Provider Identifier
1730600594
Registry record updated Jul 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NATIONAL RX PHARMA INC.
Practice address
10111 Roosevelt Ave
Corona, NY 11368-4863
Phone
(347) 852-3214
NPI assigned
Jul 2, 2017
Last updated
Jul 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2017

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

Authorized official

Name
Rebecca Rangel Campon
Title
President
Phone
(347) 852-3214

Specialties & licenses 1

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

Addresses

Primary practice location

10111 Roosevelt Ave
Corona, NY 11368-4863

Mailing address

10111 Roosevelt Ave
Corona, NY 11368-4863

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180223001397 NY DME Supplier - Pharmacy 2961763420 Practice locations: Corona, NY
O20210128002234 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2961763420 Practice locations: Corona, 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
National RX Pharmacy10111 Roosevelt Ave, Corona, NY 11368-4863(718) 779-6600 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Dec 1, 2017

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1498953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498953600000",
    "number": "1730600594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684863",
            "telephone_number": "347-852-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL RX PHARMA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-02",
        "last_updated": "2017-07-02",
        "status": "A",
        "authorized_official_last_name": "CAMPON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "RANGEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-852-3214"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2017; 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.