Healthcare Provider Details

I. General information

NPI: 1558277558
Provider Name (Legal Business Name): REX SPECIALTY PHARMACY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 CENTRAL CT
VALLEY STREAM NY
11580-1143
US

IV. Provider business mailing address

48 CENTRAL CT
VALLEY STREAM NY
11580-1143
US

V. Phone/Fax

Practice location:
  • Phone: 516-593-7747
  • Fax: 516-593-7094
Mailing address:
  • Phone: 516-593-7747
  • Fax: 516-593-7094

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: ALI HASSAN JAFFERY
Title or Position: OWNER
Credential:
Phone: 516-593-7747