=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740138676
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARISTA RX CORP.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/17/2026
-----------------------------------------------------
Last Update Date | 03/17/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8917 JAMAICA AVE
-----------------------------------------------------
City | WOODHAVEN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11421-2041
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-674-6343
-----------------------------------------------------
Fax | 718-674-6345
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8917 JAMAICA AVE
-----------------------------------------------------
City | WOODHAVEN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11421-2041
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-674-6343
-----------------------------------------------------
Fax | 718-674-6345
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | NANCY TOKOVA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 347-237-8282
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------