Healthcare Provider Details

I. General information

NPI: 1427988807
Provider Name (Legal Business Name): SUNNY PHARMACY RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10524 101ST AVE
OZONE PARK NY
11416-2703
US

IV. Provider business mailing address

10524 101ST AVE
OZONE PARK NY
11416-2703
US

V. Phone/Fax

Practice location:
  • Phone: 718-441-0465
  • Fax: 917-332-1958
Mailing address:
  • Phone: 718-441-0465
  • Fax: 917-332-1958

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: ELI KIPERMAN
Title or Position: OWNER
Credential:
Phone: 718-441-0465