Organization Active NPI

Aegis RX Pharmacy Inc

  • Community/Retail Pharmacy
  • Baldwin, NY
National Provider Identifier
1932997657
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AEGIS RX PHARMACY INC
Practice address
2418 Grand Ave
Baldwin, NY 11510-3220
Phone
(516) 500-2293
Fax
(516) 268-9358
NPI assigned
Apr 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Gabriel Lopes Teixeira
Title
Ceo / President / Owner
Phone
(516) 500-2293

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2418 Grand Ave
Baldwin, NY 11510-3220

Mailing address

2418 Grand Ave
Baldwin, NY 11510-3220
Phone (516) 500-2293

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250711002512 NY Part B Supplier - Pharmacy 0547775397 Practice locations: Baldwin, NY
O20250904000534 NY DME Supplier - Pharmacy 0547775397 Practice locations: Baldwin, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1932997657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 GRAND AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103220",
            "telephone_number": "516-500-2293",
            "fax_number": "516-268-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 GRAND AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103220",
            "telephone_number": "516-500-2293",
            "fax_number": "516-268-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS RX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "TEIXEIRA",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "LOPES",
        "authorized_official_title_or_position": "CEO / PRESIDENT / OWNER",
        "authorized_official_telephone_number": "516-500-2293"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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 Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.