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NPI Code Detail

MEDICARE: RAINA RX, LLC

MEDICARE: RAINA RX, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336S0011XSpecialty Pharmacy
23336C0003XCommunity/Retail Pharmacy
33336H0001XHome Infusion Therapy Pharmacy
4333600000XPharmacy034308NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22158749OTHERPK

General Provider Information

NPI Number : 1164881942
Entity Type Code : Organization
Provider Name (Legal Business Name) : RAINA RX, LLC
Provider Business Mailing Address
First Line : 1208 ROUTE 300 STE 103
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-6497
Country : US
Telephone Number : 845-275-0816
Fax Number : 845-275-0846
Provider Business Practice Location Address
First Line : 1208 ROUTE 300 STE 103
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-5003
Country : US
Telephone Number : 800-810-9274
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : ADAM PIPCZYNSKI
Credential : PHARMD
Telephone Number : 617-352-3104
Provider Enumeration Date : 02/22/2016
Last Update Date : 03/26/2026

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Directions to “RAINA RX, LLC ” Practice Location

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