Provider Demographics
NPI:1922980168
Name:URBAN RX INC
Entity type:Organization
Organization Name:URBAN RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:S.P.
Authorized Official - Prefix:
Authorized Official - First Name:SERGEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SACHAKOV
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:718-897-4888
Mailing Address - Street 1:10319 QUEENS BLVD
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3447
Mailing Address - Country:US
Mailing Address - Phone:718-897-4888
Mailing Address - Fax:718-897-6057
Practice Address - Street 1:10319 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-3447
Practice Address - Country:US
Practice Address - Phone:718-897-4888
Practice Address - Fax:718-897-6057
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:URBAN RX INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-21
Last Update Date:2025-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy