Healthcare Provider Details

I. General information

NPI: 1659106938
Provider Name (Legal Business Name): RJRX INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2024
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 W BURNSIDE AVE
BRONX NY
10453-4004
US

IV. Provider business mailing address

8 W BURNSIDE AVE
BRONX NY
10453-4004
US

V. Phone/Fax

Practice location:
  • Phone: 718-484-8590
  • Fax: 718-484-8589
Mailing address:
  • Phone: 718-484-8590
  • Fax: 718-484-8589

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: MR. RICKY JORDY ALVAREZ JIMENEZ
Title or Position: PRESIDENT
Credential:
Phone: 917-825-9486