=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144373119
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RX PLUS PHARMACY CORP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/21/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 289 GRAND ST
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10002-4417
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-274-0009
-----------------------------------------------------
Fax | 212-274-8160
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 289 GRAND ST
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10002-4417
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-274-0009
-----------------------------------------------------
Fax | 212-274-8160
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. WAI SING SETO
-----------------------------------------------------
Credential | R.PH.
-----------------------------------------------------
Telephone | 212-274-0009
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 022511
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------