Healthcare Provider Details

I. General information

NPI: 1134661119
Provider Name (Legal Business Name): RUGBY PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2016
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

949 CONEY ISLAND AVE
BROOKLYN NY
11230-1401
US

IV. Provider business mailing address

949 CONEY ISLAND AVE
BROOKLYN NY
11230
US

V. Phone/Fax

Practice location:
  • Phone: 718-703-1800
  • Fax: 718-703-7787
Mailing address:
  • Phone: 718-703-1800
  • Fax:

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: GULABA KHAN
Title or Position: PRESIDENT
Credential:
Phone: 718-703-1800