Healthcare Provider Details

I. General information

NPI: 1104760032
Provider Name (Legal Business Name): AA PHARMACY RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10811 ATLANTIC AVE
RICHMOND HILL NY
11418-2254
US

IV. Provider business mailing address

10811 ATLANTIC AVE
RICHMOND HILL NY
11418-2254
US

V. Phone/Fax

Practice location:
  • Phone: 347-233-4402
  • Fax: 718-228-7641
Mailing address:
  • Phone: 347-233-4402
  • Fax: 718-228-7641

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: NINA GROSMAN
Title or Position: OWNER
Credential:
Phone: 347-233-4402