MEDICARE: DX PHARMACY 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
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1225917602
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DX PHARMACY LLC

Provider Business Mailing Address
First Line	:	5810 6TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3806
Country	:	US
Telephone Number	:	718-808-1870
Fax Number	:	718-808-4068

Provider Business Practice Location Address
First Line	:	5810 6TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3806
Country	:	US
Telephone Number	:	718-808-1870
Fax Number	:	718-808-4068

Authorized Official
Title or Position	:	OWNER
Name	:	DAVID XIE
Credential	:
Telephone Number	:	917-285-5656

Provider Enumeration Date	:	08/29/2025
Last Update Date	:	08/29/2025

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Directions to “DX PHARMACY LLC ” Practice Location

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