=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922969278
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | 107 METRO PHARM RX INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/18/2025
-----------------------------------------------------
Last Update Date | 12/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10731 METROPOLITAN AVE
-----------------------------------------------------
City | FLUSHING
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11375-6820
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-233-2928
-----------------------------------------------------
Fax | 213-289-2505
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10731 METROPOLITAN AVE
-----------------------------------------------------
City | FLUSHING
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11375-6820
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-233-9228
-----------------------------------------------------
Fax | 213-289-2505
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JOANNE SCALA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 347-233-9228
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------