Eliot RX Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ELIOT RX PHARMACY INC

Practice address

8218 Eliot Ave
Middle Village, NY 11379-1437

Phone

(718) 406-9222

NPI assigned

Aug 14, 2020

Organization subpart

No

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

Authorized official

Name

Vyacheslav Mashkabov

Title

President

Phone

(917) 916-8345

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1952912792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8218 ELIOT AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791437",
            "telephone_number": "718-406-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8218 ELIOT AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791437",
            "telephone_number": "718-406-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIOT RX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "MASHKABOV",
        "authorized_official_first_name": "VYACHESLAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-916-8345"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Dudek, RN
• Catherine Dusovic, RPH
• Tara Elizabeth Echipare, MS, OTR/L
• Amir Edris
• Eliot Ave Med Supplies Corp
• Olga A Epelbaum, MD
• Stephanie Erinle
• Essential Care Physical Therapy P.C
• Elizabeth Anne Evangelista
• Excellent Care Medical Ny P.C.

• Community/Retail Pharmacy in Middle Village, NY
• Providers in Middle Village, 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 Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.