=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366959074
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RX SOLUTIONS PHARMACY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/03/2018
-----------------------------------------------------
Last Update Date | 07/28/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2 E 167TH ST FRNT A
-----------------------------------------------------
City | BRONX
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10452-8225
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-963-9700
-----------------------------------------------------
Fax | 347-963-9706
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2 E 167TH ST FRNT A
-----------------------------------------------------
City | BRONX
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10452-8225
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-963-9700
-----------------------------------------------------
Fax | 347-963-9706
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | SAMUEL OBENG
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 347-963-9700
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 035929
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------