Organization Active NPI

Daniel RX Inc

  • Community/Retail Pharmacy
  • Kew Gardens, NY
National Provider Identifier
1841034493
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DANIEL RX INC
Practice address
12510 84TH Rd
Kew Gardens, NY 11415-2202
Phone
(718) 480-6555
Fax
(718) 480-6566
NPI assigned
Jun 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Mark-Nissan Akilov
Title
Owner
Phone
(718) 480-6555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

12510 84TH Rd
Kew Gardens, NY 11415-2202

Mailing address

12510 84TH Rd
Kew Gardens, NY 11415-2202
Phone (718) 480-6555

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241010000221 NY Part B Supplier - Pharmacy 9638601040 Practice locations: Kew Gardens, NY
O20250328001824 NY DME Supplier - Pharmacy 9638601040 Practice locations: Kew Gardens, 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
Daniel RX Inc12510 84TH Rd, Kew Gardens, NY 11415-2202(718) 480-6555 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Sep 3, 2024

National Provider Directory

National Provider Directory

Locations

12510 84th Rd
Kew Gardens, NY 11415
Phone (718) 480-6555

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1841034493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12510 84TH RD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152202",
            "telephone_number": "718-480-6555",
            "fax_number": "718-480-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 84TH RD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152202",
            "telephone_number": "718-480-6555",
            "fax_number": "718-480-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "AKILOV",
        "authorized_official_first_name": "MARK-NISSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-480-6555"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

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