Healthcare Provider Details

I. General information

NPI: 1174143655
Provider Name (Legal Business Name): NEIGHBORHOOD HEALTH RX CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2020
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10018 67TH AVE
REGO PARK NY
11374-4515
US

IV. Provider business mailing address

10018 67TH AVE
REGO PARK NY
11374-4515
US

V. Phone/Fax

Practice location:
  • Phone: 718-997-7700
  • Fax: 718-997-7707
Mailing address:
  • Phone: 718-997-7700
  • Fax: 718-997-7707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. ROMAN MUSHEYEV
Title or Position: OWNER
Credential:
Phone: 718-997-7700