Healthcare Provider Details

I. General information

NPI: 1962355768
Provider Name (Legal Business Name): CENTRAL PARK RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2026
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 CENTRAL PARK AVE STE 1S
YONKERS NY
10710-2952
US

IV. Provider business mailing address

1915 CENTRAL PARK AVE STE 1S
YONKERS NY
10710-2952
US

V. Phone/Fax

Practice location:
  • Phone: 914-898-9009
  • Fax: 914-688-1166
Mailing address:
  • Phone: 914-898-9009
  • Fax: 914-688-1166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CAROL COVLIN
Title or Position: PIC
Credential:
Phone: 914-898-9009