Wonderful RX Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WONDERFUL RX PHARMACY INC

Practice address

52 Jericho Tpke
Mineola, NY 11501-2938

Phone

(516) 416-4881

Fax

(516) 416-4883

NPI assigned

Dec 14, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Hao Huang, PHARM D

Title

Supervising Pharmacist

Phone

(516) 416-4881

Specialties & licenses 1

Addresses

Other names 1

• WONDERFUL RX PHARMACY INC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

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

{
    "created_epoch": "1576281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1871131441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 JERICHO TPKE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012938",
            "telephone_number": "516-416-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 JERICHO TPKE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012938",
            "telephone_number": "516-416-4881",
            "fax_number": "516-416-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERFUL RX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-14",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "HAO",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "516-416-4881",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PHARMACY",
            "affiliation": "N",
            "address_1": "52 Jericho Tpke",
            "city": "Mineola",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115012938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "WONDERFUL RX PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WONDERFUL RX PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard R Winwood, RPA-C
• Anne-Marie Wise
• Rita Wismann
• Within Normal Limits Physical Therapy P.C.
• Jerome Harold Wolfert, D.M.D.
• Alan Wong
• Candice Wong, PA-C
• Jay A. Wong, MD
• Jocelyn Wong
• Ryan Wong, DO

• Community/Retail Pharmacy in Mineola, NY
• Providers in Mineola, 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 Dec 19, 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.