Provider Demographics
NPI:1730247040
Name:R & I RX CENTER, INC.
Entity type:Organization
Organization Name:R & I RX CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISING PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:HUNGYUK
Authorized Official - Middle Name:JIMMY
Authorized Official - Last Name:LEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-634-5890
Mailing Address - Street 1:342 BEACH 54TH ST
Mailing Address - Street 2:
Mailing Address - City:ARVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11692-1782
Mailing Address - Country:US
Mailing Address - Phone:718-634-5890
Mailing Address - Fax:718-634-6267
Practice Address - Street 1:342 BEACH 54TH ST
Practice Address - Street 2:
Practice Address - City:ARVERNE
Practice Address - State:NY
Practice Address - Zip Code:11692-1782
Practice Address - Country:US
Practice Address - Phone:718-634-5890
Practice Address - Fax:718-634-6267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0155083336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3350876OtherNCPDP OR NABP NUMBER
NY00269232Medicaid