Healthcare Provider Details

I. General information

NPI: 1720869928
Provider Name (Legal Business Name): RICHMOND RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2023
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9803 101ST AVE
OZONE PARK NY
11416-2635
US

IV. Provider business mailing address

9803 101ST AVE
OZONE PARK NY
11416-2635
US

V. Phone/Fax

Practice location:
  • Phone: 718-480-1111
  • Fax: 718-480-6666
Mailing address:
  • Phone: 718-480-1111
  • Fax: 718-480-6666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: MIKHAIL SHAKHMUROV
Title or Position: PRESIDENT
Credential:
Phone: 718-480-1111