Organization Active NPI

Netrx Inc

  • Community/Retail Pharmacy
  • Rego Park, NY
National Provider Identifier
1912579145
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NETRX INC
Doing business as
NetRx
Practice address
9710 Queens Blvd
Rego Park, NY 11374-3245
Phone
(718) 685-2553
Fax
(718) 228-5288
NPI assigned
Jul 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Authorized official

Name
Daniel FayziyevNPI 1255009130
Title
Owner
Phone
(718) 685-2553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

9710 Queens Blvd
Rego Park, NY 11374-3245

Mailing address

9710 Queens Blvd
Rego Park, NY 11374-3245
Phone (718) 685-2553

Other names 1

  • NetRx Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220113001720 NY DME Supplier - Pharmacy 9335531888 Practice locations: Rego Park, NY
O20220204001295 NY Part B Supplier - Mass Immunization (Roster Biller Only) 9335531888 Practice locations: Rego Park, 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
Netrx Inc9710 Queens Blvd, Rego Park, NY 11374-3245(718) 685-2553 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|External Infusion Pumps and/or Supplies|Insuli… Does not accept assignmentParticipating since Dec 6, 2021

National Provider Directory

National Provider Directory

Locations

9710 Queens Blvd
Rego Park, NY 11374
Phone (718) 685-2553

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1912579145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743245",
            "telephone_number": "718-685-2553",
            "fax_number": "718-228-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743245",
            "telephone_number": "718-685-2553",
            "fax_number": "718-228-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NETRX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "FAYZIYEV",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-685-2553"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NetRx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.