Healthcare Provider Details

I. General information

NPI: 1871325100
Provider Name (Legal Business Name): RYE BEACH PHARMACY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2024
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

464 FOREST AVE STE 1
RYE NY
10580-3696
US

IV. Provider business mailing address

464 FOREST AVE STE 1
RYE NY
10580-3696
US

V. Phone/Fax

Practice location:
  • Phone: 914-967-0856
  • Fax: 914-967-1989
Mailing address:
  • Phone: 914-967-0856
  • Fax: 914-967-1989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. KENNETH GIAQUINTO
Title or Position: PRESIDENT
Credential:
Phone: 914-967-0856