Healthcare Provider Details

I. General information

NPI: 1013893452
Provider Name (Legal Business Name): NEXTGEN PHARMACY RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2272 3RD AVE
NEW YORK NY
10035-2209
US

IV. Provider business mailing address

2272 3RD AVE
NEW YORK NY
10035-2209
US

V. Phone/Fax

Practice location:
  • Phone: 212-369-6500
  • Fax: 212-369-6502
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL KIM
Title or Position: PIC
Credential:
Phone: 212-369-6500