Redi Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031896 Issued in NY

Legal business name

REDI CORPORATION

Practice address

250 W Route 59
Suite 5
Nanuet, NY 10954-2221

Phone

(845) 507-0630

Fax

(845) 507-0631

NPI assigned

Apr 29, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Arkady Chepkunov, RPHNPI 1114362704

Title

Pharmacist

Phone

(845) 507-0630

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Redi Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Redi Corporation and Pharmacy

  • Community/Retail Pharmacy
  • Warwick, NY
  • NPI 1912038019
  NPD tax ID

Locations

Practitioners 1

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

• Arkady Borisovich Chepkunov, RPH

  • Pharmacist
  • Nanuet, NY
  • NPI 1114362704
  NPD Authorized official

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1942645395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W ROUTE 59",
            "address_2": "SUITE 5",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542221",
            "telephone_number": "845-507-0630",
            "fax_number": "845-507-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W ROUTE 59",
            "address_2": "SUITE 5",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542221",
            "telephone_number": "845-507-0630",
            "fax_number": "845-507-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDI CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "CHEPKUNOV",
        "authorized_official_first_name": "ARKADY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "845-507-0630",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Radell
• Robbins Rajan, PHARM.D
• Latoya Rawligs
• Nina Reagan
• Jonathan Rebosa, PT
• Samantha C Refano
• Mary Reiner
• Meghan Catherine Reiner
• Marie Mitza Remy, LPN
• Yodalis Rey

• Community/Retail Pharmacy in Nanuet, NY
• Providers in Nanuet, 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 Apr 29, 2013; 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.