Healthcare Provider Details

I. General information

NPI: 1205145562
Provider Name (Legal Business Name): RXMASTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2010
Last Update Date: 03/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1437 WEBSTER AVE
BRONX NY
10456-1831
US

IV. Provider business mailing address

1437 WEBSTER AVE
BRONX NY
10456-1831
US

V. Phone/Fax

Practice location:
  • Phone: 718-293-0800
  • Fax: 718-293-0810
Mailing address:
  • Phone: 718-293-0800
  • Fax: 718-293-0810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number030382
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RUSLAN MOSHEYEV
Title or Position: PHARMACIST
Credential:
Phone: 718-293-0800