Provider Demographics
NPI:1962292797
Name:770 RX INC
Entity type:Organization
Organization Name:770 RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATERYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSINOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-661-9650
Mailing Address - Street 1:10210 METROPOLITAN AVE
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-6732
Mailing Address - Country:US
Mailing Address - Phone:929-661-9650
Mailing Address - Fax:
Practice Address - Street 1:10210 METROPOLITAN AVE
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-6732
Practice Address - Country:US
Practice Address - Phone:929-661-9650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy