Healthcare Provider Details

I. General information

NPI: 1730853680
Provider Name (Legal Business Name): OPRX PHARMACY #10709, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2021
Last Update Date: 05/10/2023
Certification Date: 05/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 TUCKAHOE AVE
EASTCHESTER NY
10709-2924
US

IV. Provider business mailing address

1 TUCKAHOE AVE
EASTCHESTER NY
10709-2924
US

V. Phone/Fax

Practice location:
  • Phone: 914-335-8801
  • Fax: 914-771-8494
Mailing address:
  • Phone: 914-335-8801
  • Fax: 914-771-8494

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: SARIT ROY
Title or Position: CEO
Credential:
Phone: 516-876-0737