Healthcare Provider Details

I. General information

NPI: 1922969278
Provider Name (Legal Business Name): 107 METRO PHARM RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10731 METROPOLITAN AVE
FLUSHING NY
11375-6820
US

IV. Provider business mailing address

10731 METROPOLITAN AVE
FLUSHING NY
11375-6820
US

V. Phone/Fax

Practice location:
  • Phone: 347-233-2928
  • Fax: 213-289-2505
Mailing address:
  • Phone: 347-233-9228
  • Fax: 213-289-2505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOANNE SCALA
Title or Position: OWNER
Credential:
Phone: 347-233-9228