Energizedhealth RX Inc

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

ENERGIZEDHEALTH RX INC

Practice address

1297 Grand Ave # a
North Baldwin, NY 11510-1438

Phone

(516) 272-7990

Fax

(516) 272-7995

NPI assigned

May 24, 2024

Organization subpart

No

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

Authorized official

Name

Daniel Rakhamimov

Title

Owner

Phone

(347) 803-9494

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1760221196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1297 GRAND AVE # A",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101438",
            "telephone_number": "516-272-7990",
            "fax_number": "516-272-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 GRAND AVE # A",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101438",
            "telephone_number": "516-272-7990",
            "fax_number": "516-272-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGIZEDHEALTH RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "RAKHAMIMOV",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-803-9494"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialty Pharmacy in North Baldwin, NY
• Providers in North Baldwin, NY by specialty
• Specialty Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.