Innovia RX Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

INNOVIA RX INC.

Practice address

35 Middle Country Rd Ste H
Coram, NY 11727-4478

Phone

(631) 698-2868

NPI assigned

Mar 26, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Benny V MangalathNPI 1013231281

Title

President

Phone

(631) 698-2868

Specialties & licenses 1

Addresses

Other names 1

• Prescription Centre & Surgicals Doing business as

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

Practitioners 3

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

• Benny V Mangalath, BPHARM

  • Pharmacist
  • Islip, NY
  • NPI 1013231281
  NPD Authorized official
• James Bloodgood, RPH

  • Pharmacist
  • Coram, NY
  • NPI 1538348461
  NPD (past)
• John P Mahon

  • Pharmacist
  • Coram, NY
  • NPI 1750527024
  NPD (past)

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1780145508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MIDDLE COUNTRY RD STE H",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274478",
            "telephone_number": "631-698-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MIDDLE COUNTRY RD STE H",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274478",
            "telephone_number": "631-698-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVIA RX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "MANGALATH",
        "authorized_official_first_name": "BENNY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-698-2868",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescription Centre & Surgicals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Icarern
• Donna Helen Ilker, LPN
• Joseph Illovsky, LCSW
• Nayyar U Imam, PHARMACIST
• Samantha-Marie Inesti
• Insightful Paths LLC
• Gina Marie Iovino, RN
• April Marie Ippolito-Torres, CBS
• Lisa Marie Isaac
• Eric Ishman, CASAC

• Community/Retail Pharmacy in Coram, NY
• Providers in Coram, 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 Mar 26, 2019; 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.