RKD RX Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

035360 Issued in NY

Legal business name

RKD RX CORP

Practice address

3911 104TH St
Corona, NY 11368-2313

Phone

(929) 444-6480

Fax

(866) 623-4329

NPI assigned

Jul 7, 2017

Last updated

May 3, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Slava Bassanell

Title

President

Phone

(718) 551-7844

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• RKD PHARMACY Other name

Locations

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1841712247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 104TH ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682313",
            "telephone_number": "929-444-6480",
            "fax_number": "866-623-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 104TH ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682313",
            "telephone_number": "929-444-6480",
            "fax_number": "866-623-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RKD RX CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "BASSANELL",
        "authorized_official_first_name": "MICHAEL SLAVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-551-7844"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2170063",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RKD PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rite Aid of New York Inc (Rite Aid Pharmacy 04192)
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• Telva Rivera, LMSW
• RJ Physical Therapist PC
• Eva E Robbins, RN,FNP
• Aimee Robles, PT
• Jeffrey Robles, MD
• Arlene Rodriguez
• Edna Violeta Rodriguez, M.D.

• Community/Retail Pharmacy in Corona, NY
• Providers in Corona, 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 May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.