Provider Demographics
NPI:1548017924
Name:ELITE RX INC
Entity type:Organization
Organization Name:ELITE RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BABAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-285-2177
Mailing Address - Street 1:19506 47TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-3910
Mailing Address - Country:US
Mailing Address - Phone:917-285-2177
Mailing Address - Fax:917-634-8940
Practice Address - Street 1:19506 47TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-3910
Practice Address - Country:US
Practice Address - Phone:917-285-2177
Practice Address - Fax:917-634-8940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-02
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy