Healthcare Provider Details

I. General information

NPI: 1164881942
Provider Name (Legal Business Name): RAINA RX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2016
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1208 ROUTE 300 STE 103
NEWBURGH NY
12550-5003
US

IV. Provider business mailing address

1208 ROUTE 300 STE 103
NEWBURGH NY
12550-6497
US

V. Phone/Fax

Practice location:
  • Phone: 800-810-9274
  • Fax:
Mailing address:
  • Phone: 845-275-0816
  • Fax: 845-275-0846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number034308
License Number StateNY

VIII. Authorized Official

Name: ADAM PIPCZYNSKI
Title or Position: DIRECTOR
Credential: PHARMD
Phone: 617-352-3104