Healthcare Provider Details

I. General information

NPI: 1144184656
Provider Name (Legal Business Name): CYRUS RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

183 ROCKAWAY AVE
VALLEY STREAM NY
11580-5823
US

IV. Provider business mailing address

183 ROCKAWAY AVE
VALLEY STREAM NY
11580-5823
US

V. Phone/Fax

Practice location:
  • Phone: 516-341-0844
  • Fax: 516-341-0845
Mailing address:
  • Phone: 516-341-0844
  • Fax: 516-341-0845

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: MS. LATHA CHITTINEEDI
Title or Position: PRESIDENT
Credential:
Phone: 917-935-7097