Healthcare Provider Details

I. General information

NPI: 1750200291
Provider Name (Legal Business Name): JP RX NY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3134 14TH ST # 1
ASTORIA NY
11106-4809
US

IV. Provider business mailing address

3134 14TH ST # 1
ASTORIA NY
11106-4809
US

V. Phone/Fax

Practice location:
  • Phone: 347-649-1020
  • Fax: 347-644-2247
Mailing address:
  • Phone: 347-649-1020
  • Fax: 347-644-2247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOSEF RUBINOV
Title or Position: PRESIDENT
Credential:
Phone: 347-649-1020