Healthcare Provider Details

I. General information

NPI: 1851387716
Provider Name (Legal Business Name): RX EXPRESS PRESCRIPTION SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1963 JERICHO TPKE
EAST NORTHPORT NY
11731-6216
US

IV. Provider business mailing address

1963 JERICHO TPKE
EAST NORTHPORT NY
11731-6216
US

V. Phone/Fax

Practice location:
  • Phone: 631-462-2233
  • Fax: 631-462-2325
Mailing address:
  • Phone: 631-462-2233
  • Fax: 631-462-2325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number36088
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number31222
License Number StateNY

VIII. Authorized Official

Name: MR. BRUCE Z FEINBERG
Title or Position: PRESIDENT
Credential: RPH
Phone: 631-462-2233