Healthcare Provider Details
I. General information
NPI: 1386578128
Provider Name (Legal Business Name): FAMILY RX PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
621 MERRICK AVE
EAST MEADOW NY
11554-3740
US
IV. Provider business mailing address
621 MERRICK AVE
EAST MEADOW NY
11554-3740
US
V. Phone/Fax
- Phone: 516-280-7474
- Fax:
- Phone: 516-280-7474
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MAKS
YUNATANOV
Title or Position: PIC
Credential:
Phone: 917-650-8559