Advanced RX, Inc.
Organization Active NPI Community/Retail Pharmacy · Jackson Heights, NY
NPI 1891247433 · NPPES record last updated May 21, 2018
Key facts
- NPI
- 1891247433
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 034869 (NY)
- Legal business name
- ADVANCED RX, INC.
- Practice address
- 76-12 Roosevelt Ave
Jackson Heights, NY 11372 - Phone
- (718) 803-0500
- Fax
- (718) 803-0501
- NPI assigned
- Oct 31, 2016
- Organization subpart
- No
Authorized official
- Name
- Jhony S Siu
- Title
- Owner
- Phone
- (718) 803-0500
Practitioners 2
-
David Wu, PHARM.D.
-
Xiao Fen Zhao, PHARMD
National Provider Directory
Locations
7612 Roosevelt Ave
Jackson Heights, NY 11372
Phone (718) 803-0500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 034869 | NY | Yes |
Addresses
Primary practice location
76-12 Roosevelt Ave
Jackson Heights, NY 11372
Mailing address
76-12 Roosevelt Ave
Jackson Heights, NY 11372
Phone (718) 803-0500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04803123 | Medicaid | NY | |
| 2165994 | Other | PK |
Other names
- Advanced Rx Inc.
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.